冠状动脉支架术后行腹腔镜妇科手术33例临床总结

发布时间：2018-01-20 10:30

  本文关键词： 冠状动脉支架术后 妇科 腹腔镜手术　出处：《中国妇产科临床杂志》2015年03期 　论文类型：期刊论文

【摘要】：目的探讨冠心病患者在冠状动脉支架术后行腹腔镜妇科手术(Laparoscopic gynecologic surgery,Lgs)的可行性、安全性。方法 2008年10月至2014年1月,33例冠状动脉支架植入术后患者行妇科腹腔镜手术,术中采取低流量(2L/min)、低压腹腔镜手术19例、无气腹腹腔镜14例。围术期29例采用肝素替代阿司匹林,4例未停用阿司匹林。结果33例患者均顺利完成手术,手术时间30~90 min,术中出血量30~150ml,无中转开腹。住院时间4~7d。术中、术后无副损伤、感染发生,术后未出现血栓形成、冠状动脉再狭窄病例。术后随访6个月,8例因妇科手术去除贫血病因后心功能由Ⅱ级改善为Ⅰ级,1例出现支架内再狭窄。结论因妇科疾病需要手术治疗的冠状动脉支架植入的患者经充分术前评估、恰当围术期处理,是能够耐受腹腔镜手术的。
[Abstract]:Objective to investigate the feasibility of laparoscopic gynecologic surgeryus (LGS) in patients with coronary heart disease (CHD) after coronary stenting. Methods from October 2008 to January 2014, 33 patients with coronary stenting underwent gynecologic laparoscopic surgery with low flow rate (2L / min). Low-pressure laparoscopic surgery was performed in 19 cases and pneumoperitoneum in 14 cases. During perioperative period, heparin was used to replace aspirin in 4 cases. The operative time was 30 ~ 90 min, the volume of blood loss during operation was 30 ~ 150 ml, there was no conversion to laparotomy, and the hospitalization time was 4 ~ 7 days. During the operation, there was no collateral injury, no infection and no thrombosis after operation. Patients with restenosis of coronary artery were followed up for 6 months. After gynecological operation, the cardiac function of 8 cases was improved from grade 鈪，

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