摘要
【目的】临床对照研究比较腹腔镜筋膜内子宫切除术(CISH)和腹腔镜辅助阴式子宫切除术(LAVH)的临床效果。【方法】CISH 69例,LAVH 56例,对照分析两组术中及术后情况。【结果】CISH组较LAVH组手术时间短,术中失血少,术后肛门恢复排气时间及性生活恢复时间均较早,其差异显著(P<0.05),但阴道出血发生率较高,且差异显著(P<0.05)。两组患者术后预后良好,术后d3天最高体温、住院天数、术后并发症、皮下气肿情况差异无显著性(P>0.05)。【结论】CISH具有手术时间短、术中出血少、术后病率低、术后恢复快等优点,尤其适合无明显宫颈病理改变的良性子宫病变患者。当病理或临床考虑宫颈和子宫内膜癌前期病变的患者及近绝经期的妇女,LAVH术式较为适宜。
[Objective]To evaluate the efficacy of laparoscopic hysterectomy and compare classic intrafascial supracervical hysterectomy （CISH） with and laparoscopic-assisted vaginal hysterectomy （LAVH）. [Methods]The clinical data of 69 cases of CISH and 56 cases of LAVH were retrospectively analysed. [Results]Among the two groups, women undergoing CISH had the smaller amount of estimated blood loss and was associated with shorter operating time, there were statistically significant differences among the two groups （ P 〈0.01）. [Conclusion]Among the two groups, CISH results in lower blood loss and fewer operating time. If the cervix is removed along with the uterus, CISH is preferred in cases of benign uterine diseases because its lower blood loss and fewer operating time, especially in women who have large masses with no pathologic lesions of the cervix.
出处
《医学临床研究》
CAS
2005年第12期1688-1690,共3页
Journal of Clinical Research
关键词
子宫切除术
外科手术
腹腔镜
hysterectomy
surgical procedure,laparoscopic
