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目的探讨腹腔镜下全子宫切除术中子宫血管处理方法。方法回顾性分析89例腹腔镜下全子宫切除术中子宫动静脉处理方法。分析宫旁缝扎组的手术时间、术中出血量及术后病率,并与子宫动脉游离结扎组及腹腔镜联合阴式子宫切除术组进行比较。结果子宫血管缝扎组与血管游离后处理组患者的手术时间、术后出血量及术后病率比较差异无显著性(P>0·05);子宫血管缝扎组与腹腔镜联合阴式子宫切除术组的手术时间及术后病率比较差异无显著性(P>0·05),但子宫血管缝扎组出血量明显减少(P<0·05)。结论宫旁缝扎子宫动静脉后电凝切断子宫血管及主韧带,需要的器械简单,操作简便,手术野清晰,容易推广,在腹腔镜子宫切除术中有较大的临床应用价值。
Objective To investigate the methods of uterine vascular treatment during laparoscopic hysterectomy. Methods A retrospective analysis of 89 cases of hysterectomy hysterectomy uterine artery and vein treatment. The operation time, blood loss and postoperative morbidity of uterine artery suture group were analyzed. The uterine artery suture group and laparoscopic vaginal hysterectomy group were compared. Results There was no significant difference in operative time, postoperative blood loss and postoperative morbidity between uterine vascular suture group and vascular free postconditioning group (P> 0.05); uterine vascular suture group and laparoscopic combined vaginal The operation time and postoperative morbidity in hysterectomy group were not significantly different (P> 0.05), but the amount of bleeding in uterine vascular suture group was significantly reduced (P <0.05). Conclusions The uterine suture of the uterus after arteriovenous electrocoagulation to cut off the uterine vessels and the main ligament, the required equipment is simple, easy to operate, clear surgical field, easy to promote, laparoscopic hysterectomy has greater clinical value.