摘要
目的探讨肥胖患者行腹腔镜巨大子宫全切术的手术技巧及可行性。方法将行腹腔镜巨大子宫全切术的患者按体重指数分组,肥胖组(研究组)41例,正常体重组(对照组)40例,比较两组患者手术的时间、出血量、术后排气时间、术后住院天数、手术并发症等。结果两组患者均无一例中转开腹,无严重并发症发生,两组的手术时间比较差异有统计学意义(P<0.05),术中出血量、术后HGB下降值、排气时间、切口甲级愈合率、住院天数等两组比较差异均无统计学意义(P>0.05)。结论肥胖患者行腹腔镜巨大子宫全切术具有可行性,术中及术后并发症同体重正常患者相比较无明显差异,但手术时间相对延长。
Objective To explore the surgical skill and feasibility of laparoscopic hysterectomy of obese patients with gaint uterus. Methods Patients who will he taken laparoscopic hysterectomy of gaint uterus were divided into two groups according to body mass index： 41 cases of obese group（research group） and 40 cases of normal weight group （ the control group ） .Operative time,amount of blood losing,aerofluxus time,the days of hospitalization,operative complications were compared between the two groups. Results No case was converted to laparotomy and had serious complications in two groups. The differences of operative time of two groups was statistically significant （P 〈 0.05）,which amount of blood losing,decrease of postoperative haemoglobin,aerofluxus time,wound healing,the days of hospitalization of two groups was no statistically significant（P 〉 0. 05）. Conclusion Obese patients cound be taken laparoscopic hysterectomy of gaint uterus： Compared to the patient of normal weight,intraoperative and postoperative complications was no differ significantly. But operative time will be extended.
出处
《中国医药科学》
2013年第10期201-202,208,共3页
China Medicine And Pharmacy
关键词
肥胖
大子宫
腹腔镜子宫全切术
Obesity
Gaint uterus
Laparoscopic hysterectomy
