196例改良腹横小切口筋膜内子宫切除术临床研究  

Complications of 196 cases of small - modified transverse abdominal incisionin internal fascia hysterectomy

作　　者：夏智勇[1] 黄晓萍[1] 李雪[1] 张利平[2] 

机构地区：[1]川北医学院附属医院妇产科,637000 [2]川北医学院附属南充中心医院妇产科,637000

出　　处：《健康必读（下）》2011年第7期19-20,共2页

摘　　要：目的：介绍一种微创的、改良的腹式横小切口筋膜内全子宫除术术式，并探讨其临床应用价值。方法：观察组196例子宫良性病变患者行改良腹横小切口筋膜内子宫切除术，对照组164例行传统经腹全子宫切除术，比较两组手术疗效。结果：观察组在手术时间、术中出血量、术后疼痛、肛门排气时间、置尿管时间、术后病率、住院时间及出院时皮下脂肪硬结方面均显著优于对照组（P〈0．05或P〈0．01）。结论：经改良的腹横小切口筋膜内全子宫切除术操作简单、并发症少，优于传统全子宫切除术，是一种较好的微创子宫切除术术式。值得临床推广应用。Object To study the clinical value of small - modified transverse abdominal incision in internal fascia miniaparotomy hysterectomy. Methods 196 women with benign uterine diseases underwent small - modified transverse abdominal incision in internal fascia miniaparotomy hysterectomy were arranged as observational group,other 164 women with the same diseases underwent traditional hysterectomy as control group. The clinical effect of two groups was evaluated. Results The observational group were superior to the control group （ P 〈 0.01 or P 〈 0.05 ） in the operation time, blood loss, gastrointestinal recovery time, ureter remaining time,postoperative morbidity , hospital stay and the nodules under skin. Conclusion Small - modified transverse abdominal incision in internal fascia miniaparotomy hysterectomy is superior to the traditional hysterectomy, and should be efective enough to extend its clinical.

关 键 词：腹壁横小切口 子宫切除术 

分 类 号：R723[医药卫生—儿科]