摘要
目的比较腹腔镜筋膜内子宫切除术(CISH)与经腹全子宫切除术的效果。方法回顾分析2007年10月至2010年10月湘乡市第二人民医院CISH及开腹全子宫切除术的患者临床资料,其中CISH组织97例,开腹组87例。所有病例术前均常规行宫颈细胞学检查,排除宫颈癌,对合并月经异常或不规则阴道流血者行分段诊刮术或宫腔镜检查,排除子宫内膜癌。比较两组术中、术后情况。结果 CISH组的术中出血量、术后出血、排气时间、术后住院时间较经腹组显著减少(P<0.005～P<0.001)。术后随访3～6个月,随访率分别为90.5%(86/95)、92%(80/87)CISH组患者均能在术后30d内从事日常活动。妇检子宫颈光滑、圆形,阴道穹隆完整,附件区、宫颈残端无压痛,腹部瘢痕小,愈合佳。均无下腹隐痛、坠感,无腰部不适。经腹组患者术后60～70d从事日常活动。结论应用CISH效果明显优于传统的经腹全子宫切除术。
Objective To compare the effects of classic intrafascial sup racervical hysterectomy（CISH） and total abdominal hysterectomy.Methods？The clinical data of 95 cases of CISH and 87 cases of hysterectomy performed form Oct.2007 to Oct.2010 were analyzed retrospectively.97 cases in which CISH tissue,87 cases of open group.All the cases were routine preoperative cervical cytology,eliminate cervical cancer,the combined vaginal bleeding or irregular menstrual abnormalities were sub-line diagnostic hysteroscopy or curettage to exclude endometrial cancer.Both intraoperative and postoperative conditions were compared.Results？The intraoperative blood loss,the postoperative blood loss,the anus gas passage time and the hospitalization was less than that of group treated by total abdominal hysterectomy（P〈0.005～P〈0.001）.Postoperative follow-up 3 to 6 months,follow-up rate was 90.5%（86/95）,92%（80/87） CISH group were able to engage in daily activities within 30 days after surgery.Gynecological Examining cervical smooth,round,complete vaginal vault,annex area,no tenderness of cervical stump,abdominal scar is small,healing good.There was no abdominal pain,falling feeling,and no lumbar discomfort.Postoperative abdominal group 60 to 70 days in daily activities.Conclusions？The effect of CISH is significantly better than that of total abdominal hysterectomy.
出处
《中国医药指南》
2011年第17期39-40,共2页
Guide of China Medicine
