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腹腔镜下超声刀筋膜内子宫切除术的应用
http://www.100md.com 《第四军医大学学报》 2005年第5期
腹腔镜,,腹腔镜;子宫切除术;超声刀,1对象和方法,2结果,3讨论,【参考文献】
     Study of laparoscopic ultrasonic scalpel sheath hysterectomy

    DONG JunYing, GUANG HuiJuan, ZHANG XiaoHua, LI HaiXia, LUO Meng, YE Yong

    Department of Obstetrics and Gynecology, Hanzhong Peoples Hospital, Hanzhong 723000, China

    【Abstract】 AIM: To investigate the value of ultrasonic scalpel sheath hysterectomy. METHODS: One hundred and fortytwo patients with benign gynecological pathological changes who would have hysterectomy were divided into two groups: 82 patients in experimental group who would have classic intrafascial supracervical hysterectomy (CISH) and 60 patients in Traditional Gastrohysterectomy (TH) group. The two groups were compared in operation duration, amount of bleeding during operation, postsurgical recovery and followup results. RESULTS: Of the 82 cases in CISH group, 81 were successfully treated, and one patient underwent total abdominal hysterectomy (TAH) during the operation. There was no significant difference in operation duration between the two groups, but there were obvious differences in the amount of bleeding during operation, body temperature after operation, average postoperational hospital stay and recovery from the operation (P<0.01). CONCLUSION: The laparoscopic ultrasonic scalpel sheath hysterectomy has the advantages of minimal operating wound, low amount of bleeding, quick recovery, and short duration of hospitalization. Ultrasonic scalpel can achieve isolation, hemostasis and cutting in one step, and avoid electric burn. Ultrasonic scalpel is an ideal surgical option in treating benign uterine conditions. ......

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