摘要
目的介绍一种微创、手术范围介于传统筋膜外和筋膜内之间的经腹小切口改良全子宫切除术式,并探讨其临床应用价值。方法病例对照研究:184例(观察组)子宫良性病变患者行经腹小切口改良全子宫切除术,另124例(对照组)行传统经腹全子宫切除术,比较两组手术疗效。结果观察组在手术时间、术中出血量、排气时间、置尿管时间、术后病率及住院时间方面均显著优于对照组(P<0.05或P<0.01)。观察组随访170例,对照组随访116例。观察组在阴道残端出血、阴道顶端肉芽发生率、术后阴道长度及性生活满意度方面均优于对照组(P<0.05)。结论经腹小切口改良全子宫切除术操作简单、并发症少,优于传统全子宫切除术,是一种较好的微创子宫切除术式。
Objective To study the clinical value of modified minilaparotomy hysterectomy, which has a surgery scope between traditional and intrafascial hysterectomy. Methods 184 women with benign benign uterine diseases underwent modified minilaparotomy hysterectomy were arranged as experiment group, other 124 women with the same diseases underwent traditional hysterectomy as control group. The clinical effect of two groups was evaluated. Results In experiment group, the operation time, blood loss, gastrointestinal recovery time, ureter remaining time, postoperative morbidity and hospital stay was 60 ± 17 min, 85.5 ±40.1 ml, 22.8 ±8.5 hours, 23.1 ±4.2 hours, 3.3% , and 6.5 ± 1.2 days respectively, all of them were obviously superior than 120 ± 15 rain, 134.0 ± 198.1 ml, 29.5 ± 3.5 hours, 40.3 ± 6.3 hours, 19.4% , and 8.4 ± 1.3 days respectively in control group （P 〈 0.05 or P 〈0.01 ）. 170 cases were followed up in experiment group and 116 cases in control group. There was significant difference in vaginal stump hemorrhage, vaginal granulation, vaginal length and sexual life satisfaction between two groups（ P 〈 0.05 ）. Conclusion Modified minilaparotomy hysterectomy is a simple and mini-invasive procedure with less postoperative complication.
出处
《中国现代手术学杂志》
2009年第5期368-371,共4页
Chinese Journal of Modern Operative Surgery
