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目的探讨肥胖患者行妇科腹腔镜手术的临床效果。方法回顾性分析2003年7月至2006年6月在解放军第260医院妇产科行妇科腹腔镜手术的肥胖患者381例,年龄平均(47.00±8.33)岁;并与同期正常体重的331例妇科腹腔镜手术患者进行对比,年龄平均(48.00±7.35)岁。总结肥胖患者生理、解剖及腹腔镜操作特点。结果两组患者各类妇科腹腔镜手术时间、术中出血量、术中及术后并发症差异均无统计学意义(P>0.05)。结论在掌握肥胖患者的生理特点、组织解剖特点、腹腔镜操作特点的前提下,肥胖患者行妇科腹腔镜手术是安全可靠的。
Objective To investigate the clinical effect of gynecological laparoscopic surgery in obese patients. Methods A total of 381 obese patients undergoing gynecological laparoscopic gynecology at the 260th Hospital of PLA from July 2003 to June 2006 were retrospectively analyzed. Their mean age was (47.00 ± 8.33) years old. A total of 331 obese women with normal body weight Laparoscopic surgery were compared with the average age (48.00 ± 7.35) years. To summarize the physical, anatomic and laparoscopic features of obese patients. Results There were no significant differences in the laparoscopic operation time, intraoperative blood loss, intraoperative and postoperative complications between the two groups of patients (P> 0.05). Conclusions Obstetrics and gynecology laparoscopic surgery in obese patients is safe and reliable under the premise of grasping the physiological characteristics, anatomical features and laparoscopic operation characteristics of obese patients.