摘要
目的探讨四种腹腔镜子宫切除术在良性妇科疾病中的临床效果。方法回顾分析2006年5月～2010年1月金华市人民医院278例良性妇科疾病患者行腹腔镜子宫切除术的临床资料,对比分析4种术式的手术适应证及临床应用情况。结果腹腔镜鞘膜内子宫切除术总并发症发生率达6.3%,与其他三组比较差异有统计学意义(P<0.05);保留子宫颈的两种术式腹腔镜鞘膜内子宫切除术、腹腔镜子宫次全切除术与切除子宫颈的两种术式腹腔镜辅助阴式子宫切除术和腹腔镜全子宫切除术比较,手术时间、术中出血量及肛门排气时间均有明显差异(P<0.01);腹腔镜辅助阴式子宫切除术后体温升高率最大(5.6%)。结论腹腔镜子宫次全切除术及腹腔镜鞘膜内子宫切除术部分减少腹腔镜辅助阴式子宫切除术及腹腔镜全子宫切除术式数量,但不同术式各有优势,互不能完全替代,应根据患者的情况、手术医生的技术水平、医院的条件等综合考虑。
Objective To investigate the effects and outcomes of four rocedures for laparoscopic hysterectomy. Methods The clinical data of 278 patients who underwent laparoscopic hysterectomy from May 2006 to Jan 2010 was retrospectively analyzed. The clinical application and operative indication of 4 approaches were compared and analyzed. Results LISH with a complication rate of 6.3%;The average operation time of LISH and LSH groups was significantly shorter than that LAVH and LTH groups （P〈0.05）,while the volume of hemorrhage during operation less and the average time of antibiotic administration shorter. Conclusion Different proce- dures have their own advantages and disadvantages. Microinvasive surgery by laparoscopy for hysterectomy will be mainstream in the future.
出处
《中国现代医生》
2011年第14期31-32,共2页
China Modern Doctor
关键词
腹腔镜
良性妇科疾病
子宫切除术
Laparoscopic
Benign gynecological diseases
Hysterectom
