腹腔镜全子宫切除术119例临床分析  

Total laparoscopic hysterectomy : Clinical study of 119 cases

作　　者：胡旻[1] 陈黎[1] 季丽妙[1] 何云芹[1] 钱惠英[1] 周红红[1] 胡美旭[1] 

机构地区：[1]浙江省金华市中心医院妇产科,321000

出　　处：《浙江临床医学》2005年第10期1027-1028,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨腹腔镜全子宫切除术(total laparosopic hysteretomy,TLH)的手术要点、适应证和临床应用价值. 方法 2002年3月～2004年5月,238例妇科良性疾病需行全子宫切除的病例,TLH手术组和经腹切除子宫组(total abdominal hysteretomy,TAH)各119例,观察其手术时间、术中出血量和术中、术后并发症. 结果 TLH组无1例中转开腹,所需手术时间TLH组(114.33±30.62 min)比TAH组(81.68±21.11)min长(P=0.00);TLH组术中出血、镇痛需求少于TAH组(分别为131.81±66.37和190.92±86.94ml,P=0.00;1.68%和75.63%,p=0.00);住院时间TLH组短于TAH组,术后发热和切口感染率两组差别无显著性(5.24±0.77d和6.95±0.58d, P=0.00),两组均无严重并发症发生. 结论 TLH安全可行,可作为子宫切除的方法之一.Objective To investigate the operative techniques, indications and clinical value of Total laparosopic hysterectomy. Methods A comparative study of TLH（ n = 119） and total abdominal hysterectomy （TAH） （ n = 119） was carried out between Jul 2002 and May 2004. The two groups were similar in characteristics. Results No patient in the TLH group required conversion to TAH. The operative time was 114.33±30.62 min and 81.68±21.11min （P = 0.00） for the TLH and TAH groups, respectively. Estimated blood loss and postoperative analgesia requirements were lower for TLH （131.81±66.37 vs 190.92±86.94ml, P = 0.00 and 1.68% vs 75.63% ,p = 0.00, respectively）, TLH group had a shorter hospital stay （5.24±0.77 vs6.95±0.58 d, respectively, P = 0.00）. No serious complications occurred in the two groups, Conclusions TLH is feasible and safe, TLH may be an alternative technique for hysterectomy.

关 键 词：腹腔镜全子宫切除术 临床分析 术中出血量 术后并发症 临床应用价值 妇科良性疾病 手术要点 手术时间 TLH 

分 类 号：R713.4[医药卫生—妇产科学]