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腹腔镜下子宫体楔形切除术实施的可行性及安全性分析 被引量:5

The feasibility and safety of laparoscopic uterine wedge resection
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摘要 目的:为了进一步提高我院在子宫疾病方面的治疗效果和减少手术给患者带来的痛苦,对比和分析腹腔镜下实施宫体楔形切除术治疗子宫疾病的可行性和安全性。方法:抽取86例于2013年1月至2014年1月在我院拟治疗的子宫疾病患者作为研究对象,并平均分为观察组和对照组,其中43例对照组的患者通过常规的全子宫切除方案治疗,而43例观察组的患者采取腹腔镜下实施宫体楔形切除术治疗,探讨和研究两种不同的取石方式患者的手术情况及术后各种并发症的发生情况。结果:经过统计研究发现,对照组患者的术中情况(手术耗时、术中输血量、胃肠道功能恢复)、住院天数显著高于观察组患者,且两组患者比较差异具有统计学意义(P<0.05);观察组患者术后并发症的出现情况显著低于对照组患者,两组患者比较差异具有统计学意义(P<0.05)。结论:对于子宫疾病患者采取腹腔镜下实施宫体楔形切除术方案治疗,不仅能够提高手术治疗的效果,而且降低了手术中的各种风险率及术后并发症的发生率,值得应用和推广。 Objectives:To further improve the treatment effect of uterine diseases and reduce the suffering caused by surgery to patients,and to compare and analyze the feasibility and safety of laparoscopic uterine wedge re-section.Methods:86 patients with uterine disease admitted in our hospital from January 2013 to January 2014 were selected as research subjects and divided into observation group and control group:43 patients in the control group were treated with conventional hysterectomy regimen,and 43 patients in the observation group were treated with the laparoscopic uterine wedge resection surgery.The treatment effect and incidence of postoperative complications in the two groups were explored and studied.Results:The intraoperative conditions (operation time,intraoperative blood transfusion,recovery of gastrointestinal function)and the number of days of hospitalization in the control group were significantly higher than that of the observed groups,with statistically significant difference (P〈0.05);the incidence of postoperative complications in observe group was significantly lower than the control group,with sta-tistically significant difference (P〈0.05).Conclusion:The laparoscopic wedge resection can not only improve the treatment effect,but also reduce the incidence of surgical risks and postoperative complications,which is worthy of application and promotion.
出处 《中国性科学》 2015年第5期21-23,共3页 Chinese Journal of Human Sexuality
关键词 子宫腺肌症 腹腔镜 楔形切除 子宫全切除 临床疗效 并发症 Adenomyosis Laparoscopy Wedge resection Hysterectomy Clinical efficacy Com-plications
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