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Objective:To study the effects of laparoscopic hysterectomy and abdominal hysterectomy on immune system.

目的:研究腹腔镜子宫切除术和开腹子宫切除术对机体免疫功能的影响。

Methods:The clinical data of 70 cases of laparoscopy assisted transvaginal subtotal hysterectomy were retrospectively analyzed.

回顾分析子宫肌瘤70例行腹腔镜辅助下子宫次全切除术的临床资料。

Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80~90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus. The third is now normal at 28 weeks pregnancy .The fourth has had 2 menstrual periods and is still being followed up.

结果 GnRH-α用药期间4例均闭经,血雌二醇于用药的第3周降到绝经期水平;用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者,用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠;另1例停药转经2个月,现在随访中。3例妊娠转归:1例足月剖宫产分娩;1例手术切除肌壁间腺肌瘤者,孕30周时因先兆子宫破裂急诊行剖宫产术;1例目前孕22周。

Their fecundity outcome were followed-up after cessation of GnRH-α treatment. Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80~90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus.

结果 GnRH-α用药期间4例均闭经,血雌二醇于用药的第3周降到绝经期水平;用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者,用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠;另1例停药转经2个月,现在随访中。3例妊娠转归:1例足月剖宫产分娩;1例手术切除肌壁间腺肌瘤者,孕30周时因先兆子宫破裂急诊行剖宫产术;1例目前孕22周。

Methods Comparative analysis of 72 cases with laparoscopic hysterectomy and 75 cases with hysterectomy through celiotomy. The operative duration, the hemorrhage during operation, the time of postoperative transfusion, hospitalization durationand and the complications recorded.

对72例腹腔镜下子宫切除术及75例开腹子宫切除术的平均手术时间、术中出血量、术后输液日数、术后肛门排气时间、术后住院时间进行对比分析。

Objective To compare the feasibility, safety, reliability and postoperative outcomes of myomectomy performed by gasless laparoscopy and conventional laparoscopy.

目的 比较悬吊式无气腹腹腔镜与传统腹腔镜在子宫肌瘤切除术中的可行性、安全性以及术后恢复情况。

Methods To apply laparoscopic surgery to 301 cases of gynecological diseases, such as sterility,uterus muscle tumour,uterus glandulous muscle tumour,ovary cyst,overy tomour, ectopic pregnancy,chronic pelvic cavity pain.

应用腹腔镜技术治疗妇科常见疾病:不孕、子宫肌瘤、子宫腺肌瘤、卵巢囊肿、卵巢肿瘤、异位妊娠、慢性盆腔痛等307例。对其手术时间、术中出血、术后恢复的情作者:黄金菊,李晓辉,陈雪莲

Methods 72 patients with multiple uterinal myoma underwent laparoscopic hysteromyomectomy by blocking uterine artery were retrospectively analyzed.

回顾性分析72例腹腔镜下阻断子宫动脉行多发子宫肌瘤切除术的临床资料。

There was no complication after operation.Conclusion Mutiple Hysteromyomectomy by blocking uterine artery in laparoseopy is an ideal,safe and effective procedure charaterized by minimal invasion,rapid postoperative recovery and exerllent clinical efficacy.

腹腔镜下阻断子宫动脉对多发性子宫肌瘤切除术是目前较为理想、安全有效的保留子宫的手术方法,它具有创伤小、手术快、术后并发症少等优点。

Objective To investigate the clinical value of laparoscopic surgery and laparotomy in the treatment of uterine fibroids.

目的:探讨腹腔镜下子宫肌瘤切除术与剖腹子宫肌瘤切除术的临床效果。

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