摘要
目的 探讨腹腔镜下三种子宫切除术的临床价值及应用效果。方法 对 16 8例患者分别行腹腔镜下子宫次全切除术 (LSH)、筋膜内子宫全切术 (MCISH)或腹腔镜辅助的阴式子宫切除术 (LAVH) ,比较三组病人术中、术后情况。结果 三组病人的手术时间、术后疼痛发生率、术后使用抗生素时间、体温升高、肛门排气时间、术后下床活动时间和术后住院时间均无差异 ,手术时间、术中出血量LAVH组较LSH、MCISH组显著增加 ,LAVH、MCISH组术后性生活恢复时间均较LSH组延长。三组均无手术并发症发生。结论 腹腔镜下子宫次全切除术、筋膜内子宫切除术和腹腔镜辅助阴式子宫切除术都是安全可行的 ,三种手术方式各有其优缺点 。
Objective To investigated the clinical value and appl ic ation effect of 3 different methods of laparoscopic hysterectomy.Methods 168 cases accepted classic intrafascial supracervical hysterectomy(MCISH )?laparoscopic-assisted vaginal hysterectomy(LAVH) or laparoscopic supracervic al hysterectomy(LSH) were compared.Results There were no signific ant difference between the operating time, postoperative pain incidence,using an tibiotic time, temperature,time of passage of gas by anus, postoperative time of out-of-bed activity and hospitalization time.While estimated blood loss of ca ses of LAVH were significantly more than those of cases of LSH and MCISH and tim e of recover sexual in cases of LAVH and MCISH were significant longer than case s of LSH.No complication was happened.Conclusion LSH, MCISH and L AVH are all safe and reliable and with itselvies behaviors, methods should be de termined according of different patients.
出处
《重庆医学》
CAS
CSCD
2002年第7期565-567,共3页
Chongqing medicine
