腹腔镜下筋膜内子宫切除术128例临床分析  

Clinical Analysis of 128 Cases with Intrafascial Hysterectomy under Laparoscope

作　　者：王月芳[1] 陈钢[2] 

机构地区：[1]成都市第六人民医院,四川成都610051 [2]成都市第七人民医院,四川成都610041

出　　处：《四川省卫生管理干部学院学报》2009年第1期25-26,共2页Journal of Sichuan Continuing Education College of Medical Sciences

摘　　要：目的:探讨腹腔镜下筋膜内子宫切除术(CISH)的临床应用价值。方法:以我院自2003年以来开展腹腔镜下筋膜内子宫切除术128例作为研究组,抽取同期腹腔镜下全子宫切除术(TLH)115例作为对照组。比较两组术后临床相关指标。结果:两组在手术时间、术后出血比较无显著性差异(P>0.05)。而CISH组术中出血量、住院天数、术后最高体温、肛门排气时间、中转开腹与TLH组比较差异有显著性(P<0.05)。结论:腹腔镜下筋膜内子宫切除术损伤小,术中出血少,并发症少,术后恢复快,是一种较理想的手术方式,值得临床推广应用。Objective： To investigate the clinical application of intrafascial hysterectomy under peritoneoscope. Methods： 128 cases with intrafascial hysterectomy under peritoneoscope from this hospital since 2003 were collected as the experimental group, and 115 cases with total hysterectomy in the same period were selected as control group. And clinic indexes were observed and analyzed. Results： There had no significant difference of average duration of operation and blood loss after operation between this two groups （ gPg 〉 0.05 ） . But there had significantly less blood loss in the course of operation, shorter time of hospitalization, lower postoperative morbidity, and better recovery symptoms in the experimental group （P 〈 0.05） . Conclusion： As the method of intrafascial hysterectomy under peritoneoscope has many advantages, such as micro-incision, less blood loss and fewer complications, it is available for clinical application.

关 键 词：腹腔镜 子宫切除 子宫 

分 类 号：R713.42[医药卫生—妇产科学]