腹腔镜下全子宫切除术在既往开腹手术史患者中的应用效果

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Abstract Objective To explore the application effect of laparoscopic total hysterectomy surgery in the patients with previous history of abdominal surgery.Methods 61 patients with previous history of abdominal surgery underwent total hysterectomy surgery from January 2011 to March 2016 in our hospital were selected and divided into the laparotomy group（31 cases）and the laparoscopic group（30 cases）according to the different operation methods.The incidence rate of postoperative complication，intraoperative and postoperative related indicators，the incision healing rate of grade A in the two groups was compared.Results One case of laparoscopic group transferred to laparotomy due to the dense bowel adhesion，the rest were completed under laparoscopy.There was one case of bladder injury in the laparoscopic group，three cases in the laparotomy group.There was no bowel injury and ureteral injury in the both groups.The operation time of the laparoscopy group was shorter than that of the laparotomy group，the amount of bleeding in the laparoscopy group was less than that in the laparotomy group，the temperature within 72 hours in the laparoscopy group was lower than that in the laparotomy group，with significant difference（P＜0.05）.Postoperative recovery time of spontaneous activity and hospital stay in the laparoscopic group was shorter than that in the laparotomy group，with significant difference　（P＜0.05）.The incision healing rate of grade A in the laparoscopic group was 100.0%，which was higher than 80.6%in the laparotomy group，with significant difference　（P＜0.05）.Conclusion Laparoscopic total hysterectomy surgery can be done in the patients with previous history of abdominal surgery.The operation time，postoperative recovery time，hospital stay are shortened，abdominal incision healed well，and without increasing operative risk，the safety is good，it is worthy of clinical promotion and application.

Key words： Previous history of abdominal surgery Total hysterectomy Laparoscope

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	ZHANG Shu-zhen
	YANG Mei
	ZENG Chun-jie
	CHEN Xiao-lan

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ZHANG Shu-zhen,　YANG Mei,ZENG Chun-jie, et al. Application effect of laparoscopic total hysterectomy surgery in the patients with previous history of abdominal surgery[J]. 中国当代医药, 2016, 23(17): 72-74.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I17/72

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