中外医学研究Issue(14)：120-121,2.
腹腔镜下子宫切除术中出血的防治
The Control of Hemorrhage in Hysterectomy under Laparoscopic
乔雅威 1黄淑瑜 2陈云卿 2孙国玉 1王刚 2张宓 1甘淑君 3吕陈梅 3陈露诗 2李光仪 2梁栋2
作者信息
- 1. 赤峰市元宝山区妇幼保健所 内蒙古 赤峰 024076
- 2. 中山大学附属佛山第一医院
- 3. 赤峰宝山医院
- 折叠
摘要
Abstract
Objective:To further understand the reasons and prevention of bleeding through clinical analysis of laparoscopic hysterectomy in 617 cases. Method:Using retrospective approach,summarize the operation type,operation time,bleeding in operation causes and prevention measures. Result:The average hospital stay were (5.27±1.13)days,the average operation time were (68.43±21.24)min,the average bleeding volume were (37.22±14.00)ml. Two cases of uterine arteriovenous hemorrhage using titanium clip hemostasis. Eight cases of the attachment area hemorrhage were used titanium clip hemostasis,9 cases were given bipolar coagulation hemostasis,5 patients were given unipolar electrocoagulation. Conclusion:Laparoscopic hysterectomy bleeding,titanium clip hemostasis is accurate,combined with bipolar coagulation and unipolar electrocoagulation. Hemorrhage,good hemostatic effect on tissue damage and small is bipolar coagulation. Ligasure is too large but not good use because of the head,the monopolar electrocoagulation hemostasis is also very good,but easy to damage the surrounding tissue. The hemostatic effect of ultrasonic knife occurred in the worst.关键词
腹腔镜/子宫切除术/出血Key words
Laparoscopy/Hysterectomy/Hemorrhage分类
医药卫生引用本文复制引用
乔雅威,黄淑瑜,陈云卿,孙国玉,王刚,张宓,甘淑君,吕陈梅,陈露诗,李光仪,梁栋..腹腔镜下子宫切除术中出血的防治[J].中外医学研究,2014,(14):120-121,2.
