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[妇科腹部手术中脏腹膜未闭合]

[Non-closure of the visceral peritoneum during abdominal gynecological surgery].

作者信息

Woytoń J, Florjański J, Zimmer M, Tomiałowicz M

机构信息

Kliniki Rozrodczości i Połoznictwa AM we Wrocławiu.

出版信息

Ginekol Pol. 2001 Aug;72(8):652-7.

PMID:11599252
Abstract

OBJECTIVES AND STUDY DESIGN

The analysis of influence of closure and nonclosure of the visceral peritoneum during abdominal gynecological surgery was done.

MATERIALS AND METHODS

A postoperative course and late consequences (occurrence of adhesions) in the 427 patients were studied. There were two groups of patients: I group--203 patients who had visceral peritoneum closed, II group--224 patients who had visceral peritoneum non closed.

RESULTS

There were not significant differences in postoperative course in both groups. In the group where the visceral peritoneum was not closed occurrence of the adhesions was significantly decreased, when compared the group where the visceral peritoneum was closed.

CONCLUSIONS

  1. Nonclosure of the visceral peritoneum doesn't increase the incidence of early postoperative complications. 2. Nonclosure of the visceral peritoneum during abdominal gynecological surgery decreased the incidence of adhesions. 3. Nonclosure of the visceral peritoneum prevents dislocation and ligation of the ureter.
摘要

目的与研究设计

分析妇科腹部手术中内脏腹膜关闭与未关闭的影响。

材料与方法

研究了427例患者的术后病程及远期后果（粘连的发生情况）。患者分为两组：I组——203例内脏腹膜关闭的患者，II组——224例内脏腹膜未关闭的患者。

结果

两组术后病程无显著差异。与内脏腹膜关闭的组相比，内脏腹膜未关闭组粘连的发生率显著降低。

结论

  1. 内脏腹膜未关闭不会增加术后早期并发症的发生率。2. 妇科腹部手术中内脏腹膜未关闭可降低粘连的发生率。3. 内脏腹膜未关闭可防止输尿管移位和结扎。

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[Non-closure of the visceral peritoneum during abdominal gynecological surgery].[妇科腹部手术中脏腹膜未闭合]
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