摘要
目的 探讨腹腔镜下两种子宫切除术式的临床价值。方法 对腹腔镜下筋膜内子宫切除术(CISH) 68例 ,腹腔镜下辅助阴式子宫切除术 (LAVH) 58例进行回顾性分析。结果 CISH、LAVH两组的手术时间分别为 14 2 18± 51 0 8min、181 81± 46 0 5min ,CISH的手术时间明显少于LAVH(P <0 0 5) ;出血量分别为 13 8 9± 56 48ml、162 0 1± 10 1 0 1ml ,两组之间差异无显著意义 (P >0 0 5) ;术后 3d最高体温分别为 3 7 2 8℃± 0 2 1℃、3 7 76℃± 0 3 1℃ ,CISH组体温低于LAVH组 (P <0 0 5) ;术后平均住院日分别为 8 2 7± 1 79d、9 82± 2 92d ,两组之间差异无显著意义 (P >0 0 5)。结论 两种术式均是安全可行的 。
ObjectiveTo investigate the cl inical value of the two operative methods of laparoscopic hysterectomy.M ethodsA retraspective analysis of laparoscopic hysterectomy was carrie d out including 68 cases of classical intrafascial SEMM hysterectomy(CISH) and 5 8 cases of laparoscopic assisted vaginal hysterectomy(LAVH).ResultsThe mean operating time of CISH,LAVH were respectively 142.18±51.08min,181 .81±46.05min.The operating time of CISH were significantly less than that of LA VH(P<0.05).Intraoperative blood loss of CISH,LAVH were respecti vely 138.9±56.48ml,162.01±101.01ml without significant difference(P>0.05).The mean temperature for three days after operation was 37.28℃±0. 21℃(CISH) and 37.76℃±0.31℃(LAVH).It was lower in CISH group than that in LAV H group(P<0.05).The mean postoperation hospital stay was 8.27± 1.79d(CISH) and 9.82±2.92d(LAVH)(P>0.05).Conclusion Both of the two operative methods are feasible which should be chosed ac cording to the individual situation.
出处
《中国基层医药》
CAS
2004年第2期148-149,共2页
Chinese Journal of Primary Medicine and Pharmacy
