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目的探讨子宫血管缝扎术在腹腔镜下全子宫切除术中的应用效果。方法选取2013年7月—2014年3月在万安县人民医院接受治疗的腹腔镜下全子宫切除术患者90例,按照子宫旁血管处理方法不同分为子宫血管缝扎组、超声刀切断电凝组以及阴式组,各30例。比较3组患者的手术时间、术中出血量、并发症发生率、下床活动时间、排气时间、住院时间等。结果子宫血管缝扎组与超声包切断电离组观察指标比较,差异无统计学意义(P>0.05);子宫血管缝扎组和阴式组患者出血量比较,差异有统计学意义(P<0.05)。结论对腹腔镜下全子宫切除术患者进行治疗时,采用子宫血管缝扎术,操作简单方便,手术视野清晰,在临床治疗中容易推广应用。
Objective To investigate the effect of uterine vascular suture in laparoscopic total hysterectomy. Methods 90 patients underwent laparoscopic total hysterectomy in Wanan People’s Hospital from July 2013 to March 2014 were divided into uterine vascular suture group and uterine vascular suture group, Coagulation group and vaginal group, each 30 cases. The operation time, intraoperative blood loss, complication rate, ambulation time, exhaust time and hospital stay were compared between the three groups. Results There was no significant difference between the observation group of uterine vascular suture group and that of the ultrasound package (P> 0.05). The bleeding volume of uterine vascular suture group and vaginal group was statistically significant (P <0.05 ). Conclusions For patients undergoing laparoscopic hysterectomy, the use of uterine vascular suture, the operation is simple and convenient, the surgical field of vision is clear, easy to promote the clinical application.