摘要
目的:探讨非脱垂子宫阴式与腹腔镜子宫切除术的疗效比较。方法:回顾性分析70例非脱垂子宫良性病变患者分别行腹腔镜子宫全切术(腹腔镜组,34例)和经阴道子宫全切术(阴式组,36例)的临床资料。结果:阴式组的手术时间和术中出血量明显少于腹腔镜组(P<0.05)。两组患者的术后肛门排气时间和术后住院时间比较无明显统计学差异(P>0.05)。阴式组术中术后未发生明显并发症,腹式组术后出现腹部切口感染1例。术后1月复查患者阴道顶端伤口愈合良好,3个月后复诊,阴道顶端未发生明显脱垂,患者性生活较满意。结论:阴式子宫全切术和腹腔镜子宫全切术均具有微创、手术损伤小、术后住院时间短、恢复快和术后并发症少等优点,且前者的手术时间和术中出血量方面更具有优势。
Objectives： To compare the efficacy of non- prolapsed uterus vaginal and laparoscopic hysterectomy. Methods ： A retrospective analysis was made on 70 cases of non - prolapsed uterus benign lesions which underwent laparoscopie hysterectomy surgery （laparoseopic group, 34 cases） and transvaginal hysterectomy （vaginal group, 36 patients）. Results： Op- erative time and blood loss of the vaginal group were significantly less than those in the laparoscopic group （ P 〈 0.05 ）. There was no statistically significant difference （ P 〉 O. 05 ） between the two groups in terms of the patients＇ anal exhaust time and postopera- tive hospital stay. There were no obvious intraoperative and postoperative complications in vaginal group and there was one case of incision infection in laparoscopic group. In addition, patients had good vaginal wound healing during the one - month - follow - up, and there were no vaginal prolapse three months after therapy. The patients had satisfactory sexual life. Conclusions： Vagi- nal hysterectomy and laparoscopie hysterectomy were both minimally invasive, with little surgical damage, shorter postoperative hospital stay, faster recovery and fewer complications. The former shows more advantages in operative time and blood loss.
出处
《中国性科学》
2013年第7期15-16,29,共3页
Chinese Journal of Human Sexuality
基金
浙江省浦江县科技支撑项目(11w21)
