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- W3032022721 abstract "目的 探讨应用腹腔镜行子宫全切除术的安全性及效果.方法对自2002年3月至2004年3月, 于腹腔镜下行全子宫切除的216例患者的资料进行回顾性分析.患者平均年龄 45.5岁(38～60岁);其中功能失调性子宫出血24例,子宫内膜不典型增生5例,子宫肌瘤139例,子宫腺肌病46例,子宫颈原位癌2例.216例患者中,曾有下腹部手术史36例.腹腔镜下行子宫全切除均由超声刀完成,切除的子宫经阴道取出,并于腹腔镜下缝合阴道断端及膀胱腹膜反折. 结果216例患者均于腹腔镜下完成手术,无一例转为开腹手术.216例中,103例行单纯子宫切除术;113例同时行下列手术,即行单侧或双侧附件切除术23例,卵巢囊肿剔除术36例,盆腔粘连松解术54例. 手术时间平均为(103±35) min,出血量平均为(83±45)ml (60～300 ml).术后住院时间2～11 d,平均为(5.3±1.9)d.术中发生膀胱穿孔1例,经腹腔镜下行缝合修补.术后发生膀胱阴道瘘2例、输尿管阴道瘘1例,均经保守治疗后治愈.结论腹腔镜子宫全切除术是一种安全、有效的术式.为子宫切除提供了一种可选择的方法。" @default.
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- W3032022721 date "2005-09-18" @default.
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- W3032022721 title "Analysis of 216 cases of total laparoscopic hysterectomy" @default.
- W3032022721 doi "https://doi.org/10.3760/j.issn:0529-567x.2005.09.005" @default.
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