CAJ | 학술논문

目的:探讨宫腔镜联合腹腔镜联合应用在筋膜内子宫切除术的临床疗效.方法:回顾性分析2010年3月-2011年5月期间笔者所在医院采用宫腔镜联合腹腔镜筋膜内子宫切除术的56例患者,观察其手术时间、出血量、术后并发症等情况.结果:手术平均时间(121.43±20.34)min,平均出血量(113.45±28.72)ml,术后(1.24±0.55)d 肛门排气,平均住院天数6.38 d;术后出现1例腹壁穿刺口出血,对症处理后顺利完成手术,余未出现大出血等其他情况.结论:宫腔镜联合腹腔镜筋膜内子宫切除术手术风险小、患者痛苦小、节约住院费用,具有广泛的临床推广价值.
목적:탐토궁강경연합복강경연합응용재근막내자궁절제술적림상료효.방법:회고성분석2010년3월-2011년5월기간필자소재의원채용궁강경연합복강경근막내자궁절제술적56례환자,관찰기수술시간、출혈량、술후병발증등정황.결과:수술평균시간(121.43±20.34)min,평균출혈량(113.45±28.72)ml,술후(1.24±0.55)d 항문배기,평균주원천수6.38 d;술후출현1례복벽천자구출혈,대증처리후순리완성수술,여미출현대출혈등기타정황.결론:궁강경연합복강경근막내자궁절제술수술풍험소、환자통고소、절약주원비용,구유엄범적림상추엄개치.
Objective:To explore the clinical effects of evaluation of the efficacy of laparoscopic and hysteroscopic intrafascial hysterectomy. Method:56 patients who were cure by laparoscopic and hysteroscopic intrafascial hysterectomy were retrospective analysis from Match 2010 to May 2011, observed the operation time,amount of bleeding,postoperative complications in patients.Result:The mean operating time was(121.43±20.34)min, the mean bleeding volume was(113.45±28.72)ml;the time of anal exhaust was(1.24±0.55)d;the average hospitalization days were 6.38 d;the has a cases of hemorrhage in abdominal wall puncture.Conclusion:Laparoscopic and hysteroscopic intrafascial hysterectomy can reduce the risk of getting problems and patients’ pains,and can decrease hospitalization expenses,it has significant clinical development value.