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气腹与无气腹腹腔镜辅助下阴式全子宫切除术的临床比较

初磊 樊伯珍 王建军 童晓文 李怀芳

中国内镜杂志2012,Vol.18Issue(2):132-135,4.
中国内镜杂志2012,Vol.18Issue(2):132-135,4.

气腹与无气腹腹腔镜辅助下阴式全子宫切除术的临床比较

Comparison of laparoscopically assisted vaginal hysterectomy with gasless and pneumoperitoneal laparoscopy

初磊 1樊伯珍 1王建军 1童晓文 1李怀芳1

作者信息

  • 1. 同济大学附属同济医院妇产科,上海200065
  • 折叠

摘要

Abstract

[ Objective ] To evaluate the efficacy of laparoscopically assisted vaginal hysterectomy with gasless and pneumoperitoneal laparoscopy. [ Methods ] Retrospective analysis the clinical material of cases who received laparoscopically assisted vaginal hysterectomy with gasless (24cases) or pneumoperitoneal laparoscopy (184cases) in our hospital from January 2008 to December 2009. Operating duration, blood losses, complication, mean uterine weight, postoperative recovery time of gastrointestinal were compared between the two groups. [Result] The operating duration and the blood losses wese less in gasless group than pneumoperitoneal group but without significant difference; mean uterine weight in pneumoperitoneal group was larger than in gasless group (P<0.05); postoperative recovery time of gastrointestinal in gasless group is shorter than pneumoperitoneal group (P<0.05).There were no severe complications in the two groups. [Conclusions] The laparoscopically assisted vaginal hysterectomy with gasless gasless laparoscopy gives less damage and little interfere on patients' cardiorespiratory function. This operation can be used on old people or patients with cardiorespiratory function problems,as an important addition of pneumoperitoneal laparoscopy.

关键词

无气腹腹腔镜/气腹腹腔镜/腹腔镜辅助阴式子宫切除术/比较研究

Key words

gasless laparoscopy/ co2 -insufflated pneumoperitoneal laparoscopy/laparoscopically assisted vaginal hysterectomy/ comparative study

分类

医药卫生

引用本文复制引用

初磊,樊伯珍,王建军,童晓文,李怀芳..气腹与无气腹腹腔镜辅助下阴式全子宫切除术的临床比较[J].中国内镜杂志,2012,18(2):132-135,4.

中国内镜杂志

OA北大核心CSCDCSTPCD

1007-1989

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