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目的探讨使用单双极电凝行腹腔镜下全子宫切除术的安全性、有效性、可行性及手术技巧。方法选择2014年1月至2015年6月应用单双极电凝行腹腔镜全子宫切除术者80例(A组),超声刀联合双极电凝行腹腔镜全子宫切除术者100例(B组),比较两组患者的手术时间、术中出血量、肛门排气时间、术后异常体温、并发症及住院天数。结果 A组平均手术时间长于B组、术中平均出血量多于B组,但两组比较差异未见统计学意义(P>0.05);两组术后异常体温、术后肛门排气时间及术后住院时间比较差异未见统计学意义(P>0.05)。结论应用单双极电凝腹腔镜下全子宫切除术是一种安全有效、经济可行的手术方式,手术适应证的选择及娴熟的腹腔镜操作技术是安全完成手术的保证。
Objective To investigate the safety, efficacy, feasibility and surgical skills of laparoscopic total hysterectomy using single bipolar coagulation. Methods From January 2014 to June 2015, 80 patients (group A) undergoing laparoscopic hysterectomy with single or double coagulation and 100 patients with laparoscopic total hysterectomy by bipolar coagulation combined with bipolar coagulation Group B). The operation time, intraoperative blood loss, anal exhaust time, postoperative abnormal body temperature, complications and days of hospitalization were compared between the two groups. Results The average operation time in group A was longer than that in group B, and the average amount of bleeding during operation was more than that in group B, but there was no significant difference between the two groups (P> 0.05). The postoperative abnormal body temperature, postoperative anal exhaust time, There was no significant difference in postoperative hospital stay (P> 0.05). Conclusion The application of single and double pole electrocoagulation laparoscopic hysterectomy is a safe, effective and economical operation method. The choice of surgical indications and skilled laparoscopic operation are the safeguards to complete the operation safely.