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題名 | Can Vasopressin Decrease the Blood Loss in Laparoscopic Assisted Vaginal Hysterectomy? A Randomized Study=使用血管加壓素可以減少腹腔鏡協助陰道全子宮切除手術中的出血? |
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作者 | 詹景全; 余慕賢; 黃貴帥; 武國璋; 劉嘉燿; 朱堂元; Chan, Chying-chyuan; Yu, Mu-hsien; Hwang Kwei-shuai; Wu, Gwo-jang; Liu, Jah-yao; Chu, Tan-yuan; |
期刊 | Journal of Medical Sciences |
出版日期 | 20031000 |
卷期 | 23:5 2003.10[民92.10] |
頁次 | 頁281-283 |
分類號 | 417.3 |
語文 | eng |
關鍵詞 | 血管加壓素; 全子宮切除; Hysterectomy; Laparoscopy; Vasopressin; |
英文摘要 | Background: To investigate whether vasopressin used during laparoscopic assisted vaginal hysterectomy could decrease blood loss without increasing complications. Methods: Eighty-three patients undergoing laparoscopic assisted vaginal hysterectomy (LAVH) were randomly divided into 2 groups. Each group received type II laparoscopic assisted vaginal hysterectomy. The first group (n=42) received submucosal vasopressin (5 units in 40 ml normal saline) injection circumferentially around the cervix. The second group (n=41) received submucosal 40 ml normal saline injection by the same condition. Results: The 2 groups were very similar with regard to their demographics, preoperative diagnosis, and relevant findings at surgery. The blood loss in the vasopressin and control groups were 245±124 mL and 257±110 mL (mean±SD) respectively. The mean postoperative decrease of hemoglobin/hematocrit in the vasopressin group (1.1±0.8mg/dL/3/9±2.7%) and control group (1.4±1.3mg/dL/5.3±3.2%) are not different statistically. There was no significant difference between the 2 groups with respect to possible confounding variables or surgical complications. Conclusions: Injection of vasopressin at the time of laparoscopic assisted vaginal hysterectomy does not significantly reduce blood loss. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。