摘要
目的:探讨不同方式子宫切除术的临床价值。方法:将112例因子宫良性疾病需行子宫切除的患者分为3组,即腹腔镜筋膜内子宫切除组(CISH组)45例,腹腔镜全子宫切除组(TLH组)25例以及腹式全子宫切除组(TAH组)42例,比较3组患者的术中术后情况。结果:1术中情况:腹腔镜筋膜内子宫切除组的术中出血明显少于腹腔镜全子宫切除组和腹式全子宫切除组(P<0.05),腹腔镜全子宫切除组手术时间最长,与其它两组相比差异均有显著性(均P<0.05)。2术后情况:术后肛门排气时间、术后住院天数、术后腰腹痛及术后病率,两腹腔镜组相比无显著差异(P>0.05),与腹式全子宫切除组相比有显著性差异(均P<0.05)。3腹腔镜筋膜内子宫切除组患者阴道长度与术前相比无明显改变(P>0.05),腹腔镜全子宫切除组及腹式全子宫切除组患者阴道长度与术前相比有显著差异(均P<0.05),与腹腔镜筋膜内子宫切除组相比亦有显著差异(均P<0.05)。结论:随着腹腔镜技术的发展,腹腔镜子宫切除的优势更趋明显,临床上应根据不同情况选择不同的子宫切除方式,以达到最佳治疗效果。
Objective To study the clinical value of different hysterectomy. Methods One hundred and twelve patients with gynaecol benign diseases who needed hysterectomy were divided into 3 groups, group 1 receiued classical intrafascial supracervical hysterectomy （n=45）, group 2 received total laparoscopic hysterectomy （n=25） and group 3 abdominal hysterectomy （n=42）. The effects of operations in three groups were compared. Results ①Group 1 had less operation bleeding than theother two groups （P〈0.05）. Operation time in group 2 was the longest （P〈0.05）.② There was no significant difference about postoperative exhausting time, postoperative infusion days, febrile morbidity between group 1 and group 2 （P〉0.05）, but there was significant difference as compared with group 3 （P〈0.05）.③ The length of vagina did not change significantly after operation in group 1 （P〉0.05）, but changed significantly in group 2 and group 3 （P〈0.05）. Conclusion Laparoscopic hysterectomy has more and more advantages with the development of laparoscopy. Different kinds of hysterectomy should be chosen according to different patients in order to achieve a better effect.
出处
《实用诊断与治疗杂志》
2005年第8期555-557,共3页
Journal of Practical Diagnosis and Therapy
