本文關(guān)鍵詞： 冠狀動(dòng)脈支架術(shù)后 婦科 腹腔鏡手術(shù)　出處：《中國婦產(chǎn)科臨床雜志》2015年03期 　論文類型：期刊論文

【摘要】：目的探討冠心病患者在冠狀動(dòng)脈支架術(shù)后行腹腔鏡婦科手術(shù)(Laparoscopic gynecologic surgery,Lgs)的可行性、安全性。方法 2008年10月至2014年1月,33例冠狀動(dòng)脈支架植入術(shù)后患者行婦科腹腔鏡手術(shù),術(shù)中采取低流量(2L/min)、低壓腹腔鏡手術(shù)19例、無氣腹腹腔鏡14例。圍術(shù)期29例采用肝素替代阿司匹林,4例未停用阿司匹林。結(jié)果33例患者均順利完成手術(shù),手術(shù)時(shí)間30~90 min,術(shù)中出血量30~150ml,無中轉(zhuǎn)開腹。住院時(shí)間4~7d。術(shù)中、術(shù)后無副損傷、感染發(fā)生,術(shù)后未出現(xiàn)血栓形成、冠狀動(dòng)脈再狹窄病例。術(shù)后隨訪6個(gè)月,8例因婦科手術(shù)去除貧血病因后心功能由Ⅱ級(jí)改善為Ⅰ級(jí),1例出現(xiàn)支架內(nèi)再狹窄。結(jié)論因婦科疾病需要手術(shù)治療的冠狀動(dòng)脈支架植入的患者經(jīng)充分術(shù)前評(píng)估、恰當(dāng)圍術(shù)期處理,是能夠耐受腹腔鏡手術(shù)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，

本文編號(hào)：1447861