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腹腔镜技术妇外科联合应用79例临床分析 |
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作者：张凤格，米鑫，卢玉莲，王润，姚书忠，张寰
【关键词】 腹腔镜检查；子宫切除术；阑尾切除术；卵巢囊肿剥除；胆囊切除术
［摘要］ 目的 研究腹腔镜下妇、外科联合手术（下称联合手术）完成腹腔内多种病变切除的临床效果。方法 我院2001年10月~2003年10月共完成联合手术79例，计子宫切除+胆囊切除37例；子宫切除+阑尾切除6例；卵巢囊肿剥除或附体切除+胆囊切除15例；子宫切除+胆囊切除+阑尾切除1例；卵巢囊肿剥除+阑尾切除18例；阑尾切除+盆腔脓肿引流2例。结果 79例手术均顺利，平均手术时间76min（30~120min）,平均术中出血量68ml（20~120ml）；平均肠功能恢复（术后排气）26h（10~62h）；术后平均住院时间5天（3~7天）；平均住院费用4150元。发生直肠损伤1例,镜下修补后痊愈。结论 腹腔镜下妇、外科联合手术可以切除多种病变，具有微创效果。
［关键词］ 腹腔镜检查；子宫切除术；阑尾切除术；卵巢囊肿剥除；胆囊切除术
Application of gynecological laparoscopy combined with surgical laparoscopy:an analysis of 79 cases
［Abstract］ Objective To study the clinical outcome of multi-lesions treated by gynecological laparoscopy combined with surgical laparoscopy（combined operation）.Methods From Oct.2001 to Oct.2003 in Gynecological Dept.and Sugical Dept.of Second affiliated Hospital of Scientific ＆Tecnological University,Inner Mongolia,79 cases of combined operation were performed.Among them 37 cases were hysterectomy and cholecystectomy.Sixteen cases were hysterectomy and appendectomy.Five cases were ovarian cystectomy and cholecystectomy,One case was hysterectomy,cholecystectomy and appendectomy.Eighteen cases were ovarian cystectomy and appendectomy.Two cases were pelvic abscess drainage and appendectomy.Results Operation of 79 cases were performed smoothly.The mean operating time was 75min（30~120）min.The mean bleeding was 75ml（30~120ml）.The mean postoperative recovery time of gastrointestinal function was 26 hours（10~62hours）.The mean hospitalization was 5 days and the mean expenses of hospitalization was 4150 Yuan of RMB.One case encountered injury of rectum which was repaired laparospically and cured.Conclusion Multi-lesions treated by gynecological laparoscopy combined with surgical laparoscopy are tolerable and minivasive.
［Key words］ laparosc[1] [2] [3] [4] 下一页
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