日间手术中心开展腹腔镜子宫手术可行性和安全性分析

发布时间：2018-06-18 06:01

本文选题：日间手术 + 子宫手术　；参考：《中国实用妇科与产科杂志》2017年06期

【摘要】：目的探讨日间手术中心开展腹腔镜下子宫手术的可行性和安全性。方法 2015年10月至2016年12月在上海交通大学医学院附属仁济医院东院日间手术中心共完成腹腔镜下全子宫切除术和子宫肌瘤剔除术95例。患者年龄(45.44±8.83)岁。其中行全子宫切除术45例,行子宫肌瘤剔除术50例。患者在门诊完成术前准备,手术当日入院,术后48h内出院。结果所有患者手术过程顺利,术中出血少,无手术并发症,没有中转开腹,术后入住日间病房。术后无发热,排气、排便恢复正常。除2例转回普通妇科病房,其余均按期出院,无出院后再入院病例。患者住院天数大大减少,医疗费用显著下降。结论日间中心完成腹腔镜下子宫手术是完全可行、安全的,有较显著的社会效应和经济效益。
[Abstract]:Objective to investigate the feasibility and safety of laparoscopic uterine surgery in day operation center. Methods from October 2015 to December 2016, 95 cases of total hysterectomy and hysteromyomectomy were performed in the center of the Eastern Hospital of Renji Hospital affiliated to Shanghai Jiaotong University Medical College. The age of the patients was 45.44 卤8.83 years old. Total hysterectomy was performed in 45 cases and hysteromyomectomy in 50 cases. The patient completed preoperative preparation in outpatient department, admitted to hospital on the same day and discharged within 48 hours after operation. Results all the patients had a smooth operation, less bleeding, no complications, no conversion to open surgery, and were admitted to the day ward after operation. There was no fever, no exhaust and normal defecation. Except 2 cases were transferred to the general gynecological ward, the others were discharged on schedule, no cases were re-admitted after discharge. The number of days spent in hospital was greatly reduced, and the cost of medical treatment was significantly reduced. Conclusion it is feasible and safe to complete laparoscopic uterine surgery by day center. It has significant social effect and economic benefit.
【作者单位】：上海交通大学医学院附属仁济医院妇产科;上海交通大学医学院附属仁济医院医务部;上海交通大学医学院附属仁济医院麻醉科;
【基金】：上海申康医院发展中心临床管理优化项目(SHDC2014609);上海申康医院发展中心临床科技创新项目(SHDC2015640)
【分类号】：R713.4

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