次全子宫切除术式评价  

Avaluation of Supracervical Hysterectomy with Different Method

作　　者：王凤玲 陈颖丽 李雪霜 

机构地区：[1]大庆市让胡路区人民医院,黑龙江大庆163713

出　　处：《中国伤残医学》2009年第2期17-19,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探寻安全性高,创伤小,恢复快的最佳次全子宫切除手术方式。方法:选择经阴道子宫次全切除术363例、腹腔镜下次全子宫切除术(LSH)386例和开腹次全子宫切除术378例3组,结果:3组手术时间无明显差异,但LSH出血量明显少于其他两组,术后并发症LSH与阴式子宫次切无明显差异均明显少于开腹手术,结论次全子宫切除首选LSH,次之TSH最后选择开腹。Objective：To find a better way of Supracervical hysterectomy with higher safety, less wounds and faster recovery. Methods.We collected 1127 inpatients, among which 363 cases were of vaginal supracervical hysterectomy （VSH）, 386 laparoscopic supraeervical hysterectomy （LSH） and 378 open supracervieal hysterectomy （OSH）. Results： There was no significant difference among the operation time of the three groups. The amount of bleeding during the operation was much shorter in LSH group compared with the others, and there was no significant difference in postoperative complication between group LSH and VSH, but both were obviously lower than OSH group. Condusion：LSH is preferred for supracervical hysterectomy. VSH comes for second and OSH was the last choice.

关 键 词：经阴道次全子宫切除术 腹腔镜次全子宫切除术 开腹次全子宫切除术 微创 

分 类 号：R713.4[医药卫生—妇产科学]