| 何成群,刘家涛,马艳,周虎,成雨.分离输尿管新方法应用于腹腔镜下根治性子宫切除术的临床研究[J].中国临床保健杂志,2019,22(4):534-537. |
| 分离输尿管新方法应用于腹腔镜下根治性子宫切除术的临床研究 |
| Ureteral separation method is applied to the clinical study of laparoscopic radical trachelectomy |
| 投稿时间：2019-02-10 |
| DOI：10.3969/J.issn.1672-6790.2019.04.027 |
| 中文关键词: 子宫颈切除术 宫颈肿瘤 输尿管 腹腔镜检查 |
| 英文关键词: Trachelectomy Uterine cervical neoplasms Ureter Laparoscopy 〖FL |
| 基金项目:国家自然科学基金(81872047) |
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| 中文摘要: |
| 目的 探讨分离输尿管的腹腔镜下根治性子宫颈切除术减少腹腔镜下广泛子宫切除术中出血量及输尿管损伤发生率的效果。方法 对60例同一主刀医生完成的腹腔镜下广泛子宫切除术进行回顾性研究,其中对照组30例,为早期完成传统腹腔镜下广泛子宫切除术；观察组30例,为术者改进了传统手术方式,减少输尿管损伤和出血。比较两组一般情况、手术时间、住院时间、出血量、术后并发症(包括输尿管损伤)发生率。结果 治疗组平均手术时间为(206.70±40.90) min,对照组(229.10±45.80)min,两者比较差异无统计学意义。术中平均出血量治疗组(114.00±43.80)mL,少于对照组(278.70±153.00)mL,差异有统计学意义。治疗组住院天数为(9.31±3.62)d,对照组(9.90±2.29)d,两组差异无统计学意义。两组并发症发生率比较,差异无统计学意义,但对照组发生2例输尿管损伤。结论 分离输尿管的腹腔镜下根治性子宫颈切除术操作方式减少了术中出血量。 |
| 英文摘要: |
| Objective To explore a new surgical method to reduce the incidence of blood loss and ureteral injury in laparoscopic extensive hysterectomy.Methods A retrospective study was conducted on 60 cases of laparoscopic extensive hysterectomy performed by the same surgeon.In the control group,30 patients received conventional laparoscopic extensive hysterectomy.In the new methodgroup,30 patientsreceived improved conventional operation in order to reduce ureteral injury and bleeding.The following parameters were compared between the two groups:general conditions,duration of surgery,length of hospital stay,amount of bleeding,and incidence of postoperative complications (including ureteral injury).Results The average operation time of the new method group was (206.7±40.9) min,while that of the control group was (229.10±45.80)min,showing no significant difference between the two groups.The average intraoperative blood loss was(114.00±43.80)mL in the new methodgroup,significantly less than that of the control group,which was(278.70±153.00)mL.The length of hospitalization in the new methodgroup was (9.31±3.62)d,and that of the control group was(9.90±2.29)d,showing no significant difference between the two groups.Meanwhile,there was no significant difference in the incidence of complications between the two groups,however,two cases of ureteral injury occurred in the control group.Conclusion Laparoscopic radical trachelectomy provides a better way to separate the ureter and reduces the amount of bleeding during operation. |
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