肥胖患者子宫全切术式探讨  

The Investigation of Hysterectomy in Obese Patients

作　　者：赵云霞[1] 谭毅[1] 刘春梅[1] 高莉[1] 周萍[1] 廖娅萍[1] 胡静[1] 李辉[1] 

机构地区：[1]云南省第二人民医院,云南昆明650021

出　　处：《中外医学研究》2010年第22期5-7,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的 探讨肥胖患者应用阴式子宫全切术（TVH）、腹腔镜子宫全切术（TLH）、经腹子宫全切除术（TAH）三种术式的临床效果.方法 回顾性分析2005年1月～2009年12月129例肥胖患者行TVH、TLH、TAH的手术时间、术中出血、术后恢复及住院费用等情况.结果 TAH组手术时间、术中出血、术后排气时间、术后3 d平均体温、术后病率、住院时间与其他2组比较差异均有统计学意义（P〈0.05）;TVH组与TLH组比较,差异无统计学意义（P〉0.05）.住院费用TLH组最高,与其他2组比较差异均有统计学意义（P〈0.05）;TVH组与TAH组比较,差异无统计学意义（P〉0.05）.结论 对肥胖患者单纯全子宫切除来讲,TLH和TVH效果相当,临床可根据患者的具体情况以及医师的技术选择不同术式以达到最佳治疗效果.Objective To comparative analysis the therapeutic effect of transvaginal hysterectomy（TVH）, total laproscopic hysterectomy （TLH） and trans abdominal hysterectomy （TAH） in obese patients. Methods 129 obese patients undergone TVH, TLH and TAH from January 2005 to December 2009 were selected for retrospective analysis with the surgical time, bleeding, postoperative recovery, hospital fees, and so on. Results There were differences for TAH group comparing TVH and TLH groups with surgical time, bleeding, postoperation exsufflation time, average temperature, postoperative pyrexia rate, hospital stay （ P 〈 0. 05 ）, respectively ; there were not differences for TVH and TLH group （ P 〉 0. 05 ）. The hospital fees of TLH group was the highest, and there was a differenc comparing TVH and TAH group （ P 〈 0.05 ） , there was not a difference for TVH and TAH group （ P 〉 0. 05 ）. Conclusion For the pure panhysterectomy, TVH and TLH are effective for obese patients . To choose eligible operation method according to the condition of patient＇s and the skill of doctor＇s.

关 键 词：肥胖患者 阴式子宫全切术 腹腔镜子宫全切术 经腹子宫全切除术 

分 类 号：R713.42[医药卫生—妇产科学]