[1]周玮月,王杏茶,刘 阳,等.腹腔镜下全子宫切除术学习曲线分析[J].医学信息,2019,32(12):120-121,124.[doi:10.3969/j.issn.1006-1959.2019.12.039]
　ZHOU Wei-yue,WANG Xing-cha,LIU Yang,et al.Laparoscopic Hysterectomy Learning Curve Analysis[J].Journal of Medical Information,2019,32(12):120-121,124.[doi:10.3969/j.issn.1006-1959.2019.12.039]
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腹腔镜下全子宫切除术学习曲线分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年12期
页码:
120-121,124
栏目:
临床研究
出版日期:
2019-06-15

文章信息/Info

Title:
Laparoscopic Hysterectomy Learning Curve Analysis
文章编号:
1006-1959（2019）12-0120-03
作者:
周玮月1; 王杏茶1; 刘 阳1; 李晓慧1; 张乃凡2
1.承德医学院附属医院妇科，河北 承德 067000； 2.蚌埠医学院，安徽 蚌埠 233000
Author(s):
ZHOU Wei-yue1; WANG Xing-cha1; LIU Yang1; LI Xiao-hui1; ZHANG Nai-fan2
1.Department of Gynecology,Affiliated Hospital of Chengde Medical College,Chengde 067000,Hebei,China; 2.Bangbu Medical College,Bangbu 233000,Anhui,China
关键词:
腹腔镜; 全子宫切除术; 学习曲线
Keywords:
Key words：Laparoscopy; Total hysterectomy; Learning curve
分类号:
R713.4
DOI:
10.3969/j.issn.1006-1959.2019.12.039
文献标志码:
A
摘要:
目的 分析腹腔镜下全子宫切除术同一团队不同阶段的手术效果，探讨腹腔镜下全子宫切除术的学习曲线。方法 回顾性分析2015年8月~2017年8月承德医学院附属医院妇科由同一术者连续开展的最初80例腹腔镜下全子宫切除术病例，按照住院开展手术时间的先后顺序分为A、B、C、D组，每组20例。比较各阶段手术时间、术者出血量、术后住院日及并发症发生情况，分析不同阶段手术效果的差异。结果 A组手术时间长于其余各组，术中出血量高于其余各组，差异具有统计学意义（P＜0.05），但B、C、D组比较，差异无统计学意义（P＞0.05）；4组间术后住院日及并发症发生情况比较，差异无统计学意义（P＞0.05）。结论 腹腔镜全子宫切除手术经过约20例能达到平稳的状态。
Abstract:
Abstract：Objective To analyze the surgical outcomes of different stages of laparoscopic hysterectomy in the same team and to explore the learning curve of laparoscopic hysterectomy. Methods A retrospective analysis of the first 80 cases of laparoscopic hysterectomy performed continuously by the same surgeon from August 2015 to August 2017 in the Department of Gynecology, Affiliated Hospital of Chengde Medical College, according to the order of hospitalization, was divided into A, B, C, and D, 20 cases in each group. The operation time, the amount of blood loss, the postoperative hospital stay and complications were compared at each stage, and the differences in surgical outcomes at different stages were analyzed.Results The operation time of group A was longer than that of the other groups. The intraoperative blood loss was higher than the other groups,the difference was statistically significant(P<0.05), but there was no significant difference between groups B, C and D(P>0.05). There was no significant difference in postoperative hospitalization days and complications between the 4 groups (P>0.05).Conclusion Laparoscopic hysterectomy can achieve a stable state after about 20 cases.

参考文献/References:

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更新日期/Last Update: 2019-06-15