腹腔镜下子宫次全切宫颈残端两种处理方式的临床比较  

Comparison of the Two Different Methods Dealing with the Residue Cervical During the Laparoscopic Subtotal Hysterectomy.

作　　者：吴林珍[1] 

机构地区：[1]浙江省中西医结合医院妇产科,310004

出　　处：《医学研究杂志》2011年第4期122-124,共3页Journal of Medical Research

摘　　要：目的探讨腹腔镜下行子宫次全切除术中宫颈残端两种处理方式的比较。方法回顾性分析笔者医院2007年9月~2009年12月行腹腔镜下子宫次全切除术51例,其中套扎法处理宫颈残端27例（A组）,缝合法处理宫颈残端24例（B组）。观察两组术中出血量、手术时间、术后肛门排气时间、术后并发症发生情况。结果术中出血量、手术时间、术后肛门排气时间两组比较差异无统计学意义（P〉0.05）。A组术后有1例发生盆腔脓肿,2例术后1个月出现盆腔包裹性积液,2例术后腹腔内大出血;B组术后无并发症出现。结论腹腔镜下行子宫次全切除术中采用缝合法处理宫颈残端术后并发症低,值得临床应用。Objective To compare two different methods dealing with the residue cervical during the laparoscopic subtotal hysterectomy.Methods Retrospective analysis of 51 cases of laparoscopic subtotal hysterectomy from September 2007 to Dececmber 2009 was performed.Of the patients,27 cases used loop ligature method to deal with the residue cervical（Group A）,24 cases used suture method to deal with the residue cervical（Group B）.The amount of bleeding during operation,the operative time,postoperative anus flatus time and circumstance of complications were observed.Results There was no statistic significance between group A and B（P〉0.05）,by comparison the amount of bleeding during operation,operative time,postoperative anus flatus time.Five cases had complications in group A after the operation,with 1 postoperative pelvic abscess,2 encapsulated effusion,2 bleeding in abdominal cavity.There was no complication in group B after the operation.Conclusion Suture method for dealing with the residue cervical during the laparoscopic subtotal hysterectomy has a lower incidence rate of postoperative complications.It worth to be developed widely.

关 键 词：腹腔镜 子宫次全切除术 

分 类 号：R713.42[医药卫生—妇产科学]