摘要
目的比较气腹与无气腹腹腔镜辅助下阴式全子宫切除术的临床效果。方法回顾性分析2008年1月～2009年12月该院行腹腔镜辅助下阴式全子宫切除病例,其中气腹组184例,无气腹组24例。比较两组手术时间、术中出血量、术中术后并发症情况、术中切除子宫重量、术前术后血红蛋白下降值、术中输血率及术后排气时间。结果手术时间([112.7±41.3)min vs(97.9±29.0)min]、术中出血量([246±43.3)mL vs(213±69.2)mL]、血红蛋白下降([22.6±6.8)g/L vs(19.5±8.3)g/L]比较无气腹组少于气腹组,但差异无显著性(P>0.05);手术切除子宫重量([494.6±246.1)g vs(291.3±130.7)g]气腹组大于无气腹组,差异有显著性(P<0.05);无气腹组术后排气时间短于气腹组([1.4±1.1)d vs(0.7±0.5)d],差异有显著性(P<0.05),两组均未出现严重手术并发症。结论无气腹腹腔镜辅助下阴式全子宫切除术具有创伤小、恢复快的特点,可用于年龄大、心肺功能不全患者,是气腹腹腔镜的重要补充。
[ Objective ] To evaluate the efficacy of laparoscopically assisted vaginal hysterectomy with gasless and pneumoperitoneal laparoscopy. [ Methods ] Retrospective analysis the clinical material of cases who received laparoscopically assisted vaginal hysterectomy with gasless （24cases） or pneumoperitoneal laparoscopy （184cases） in our hospital from January 2008 to December 2009. Operating duration, blood losses, complication, mean uterine weight, postoperative recovery time of gastrointestinal were compared between the two groups. [ Result ] The operating duration and the blood losses wese less in gasless group than pneumoperitoneal group but without significant difference; mean uterine weight in pneumoperitoneal group was larger than in gasless group （P〈0.05）; postoperative recovery time of gastrointestinal in gasless group is shorter than pneumoperitoneal group （P〈0.05）.There were no se- vere complications in the two groups. [ Conclusions ] The laparoscopically assisted vaginal hysterectomy with gasless gasless laparoscopy gives less damage and little interfere on patients＇ cardiorespiratory function. This operation can be used on old people or patients with cardiorespiratory function problems,as an important addition of pneumoperitoneal laparoscopy.
出处
《中国内镜杂志》
CSCD
北大核心
2012年第2期132-135,共4页
China Journal of Endoscopy
关键词
无气腹腹腔镜
气腹腹腔镜
腹腔镜辅助阴式子宫切除术
比较研究
gasless laparoscopy
co2-insufflated pneumoperitoneal laparoscopy
laparoscopically assisted vaginal hysterectomy
comparative study
