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ID:34338864
大小:1.57 MB
页数:41页
时间:2019-03-05
《微创手术在子宫肌瘤治疗中的应用》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、摘要目的:比较腔镜、阴式和传统腹式手术治疗子宫肌瘤的临床疗效及其:卫生经济学价值,探讨微创手术在子宫肌瘤中的临床应用价值。方法:选择2008年12月一2012年12月在江西省妇幼保健院手术治疗子宫肌瘤患者3582例,其中行予宫肌瘤剔除术2156例、子宫次全切除695例、子宫全切除术731例。根据术式分为:腹腔镜子宫肌瘤剔除1060例、腹式子宫肌瘤剔除661例、阴式子宫肌瘤剔除32例、宫腔镜下子宫粘膜下肌瘤剔除组有403例;腹腔镜下子宫次全切除417例、腹式子宫次全切除278例;腹腔镜下子宫全切除176例、阴式子宫全切除91例、腹式子宫全切除464例。比较各术式
2、组内的一般资料,手术效果,并发症发生率、总成本及其构成等卫生经济学指标。结果:(1)各术式组内患者一般资料比较,差异无统计学意义(P>O.05)。(2)单发浆膜下或肌壁间子宫肌瘤中,腹腔镜组术中出血量、手术时间、肌瘤最大径、术后住院时间及总住院时间均少于腹式组,差异有统计学意义(P3、腹腔镜组及阴式组术中出血量、术后住院时问、总住院时问及误工时问均少于腹式组,差异有统计学意义(P4、总住院时问及误工时间均短于腹式组,差异有统计学意义(P5、明显低于腹式组,差异有统计学意义(P6、异有统计学意义(P7、retheclinicalvalueofminimallyinvasivesurgerytreatmentofuterinefibroids.Methods:3582casesofuterinefibroidswhichweresurgicaltreatedinJiangximaternalandchildhealthhospitalfromDecember2008toDecember2012wereselected,including2156casesofmyomectomy,695casesofsubtotalhysterectomy,731casesof8、totalhysterectomy.T
3、腹腔镜组及阴式组术中出血量、术后住院时问、总住院时问及误工时问均少于腹式组,差异有统计学意义(P4、总住院时问及误工时间均短于腹式组,差异有统计学意义(P5、明显低于腹式组,差异有统计学意义(P6、异有统计学意义(P7、retheclinicalvalueofminimallyinvasivesurgerytreatmentofuterinefibroids.Methods:3582casesofuterinefibroidswhichweresurgicaltreatedinJiangximaternalandchildhealthhospitalfromDecember2008toDecember2012wereselected,including2156casesofmyomectomy,695casesofsubtotalhysterectomy,731casesof8、totalhysterectomy.T
4、总住院时问及误工时间均短于腹式组,差异有统计学意义(P5、明显低于腹式组,差异有统计学意义(P6、异有统计学意义(P7、retheclinicalvalueofminimallyinvasivesurgerytreatmentofuterinefibroids.Methods:3582casesofuterinefibroidswhichweresurgicaltreatedinJiangximaternalandchildhealthhospitalfromDecember2008toDecember2012wereselected,including2156casesofmyomectomy,695casesofsubtotalhysterectomy,731casesof8、totalhysterectomy.T
5、明显低于腹式组,差异有统计学意义(P6、异有统计学意义(P7、retheclinicalvalueofminimallyinvasivesurgerytreatmentofuterinefibroids.Methods:3582casesofuterinefibroidswhichweresurgicaltreatedinJiangximaternalandchildhealthhospitalfromDecember2008toDecember2012wereselected,including2156casesofmyomectomy,695casesofsubtotalhysterectomy,731casesof8、totalhysterectomy.T
6、异有统计学意义(P7、retheclinicalvalueofminimallyinvasivesurgerytreatmentofuterinefibroids.Methods:3582casesofuterinefibroidswhichweresurgicaltreatedinJiangximaternalandchildhealthhospitalfromDecember2008toDecember2012wereselected,including2156casesofmyomectomy,695casesofsubtotalhysterectomy,731casesof8、totalhysterectomy.T
7、retheclinicalvalueofminimallyinvasivesurgerytreatmentofuterinefibroids.Methods:3582casesofuterinefibroidswhichweresurgicaltreatedinJiangximaternalandchildhealthhospitalfromDecember2008toDecember2012wereselected,including2156casesofmyomectomy,695casesofsubtotalhysterectomy,731casesof
8、totalhysterectomy.T
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