阴式次全子宫切除术与腹腔镜次全子宫切除术临床效果对比分析  

Comparison of the clinical outcomes between vaginal subtotal hysterectomy and laparoscopically assisted vaginal subtotal hysterectomy

作　　者：周毅惠[1] 倪观太[1] 朱珠[1] 

机构地区：[1]皖南医学院附属弋矶山医院妇产科,芜湖241000

出　　处：《安徽医学》2011年第7期901-903,共3页Anhui Medical Journal

摘　　要：目的探讨阴式次全子宫切除与腹腔镜次全子宫切除术的临床效果。方法回顾性分析2009年4月至2010年12月经阴道和经腹腔镜子宫次全切除术病例各20例,比较两组手术时间、术中出血、住院时间、术后病率、术后恢复情况。结果两种途径的子宫次全切除术,手术时间、术中出血量差异有统计学意义(P<0.05),术后恢复、并发症、中转开腹情况差异无统计学意义(P>0.05)。结论两种手术路径临床效果各有利弊,对子宫腺肌症及子宫大的子宫肌瘤患者且有盆腔粘连者腹腔镜优于阴式;对子宫肌瘤较小及功能性子宫出血的患者阴式次全手术为优选。Objective To investigate the clinical effects of vaginal subtotal hysterectomy and laparoscopically assisted vaginal subtotal hysterectomy.Methods A retrospective analysis was performed in 40 patients undergone two different procedures（n=20 for each group）,concerning operation duration,average intraoperative bleeding,average length of hospital stay,post-operative complications and recovery.Results The two procedures were statistically different with regard to operation duration,average amount of intra-operative bleeding（P0.05）,and yet,there were no differences regarding the post-operative recovery,complications and reference to laparotomy（P0.05）.Conclusion The two procedures have their own advantages and disadvantages.Subtotal hysterectomy assisted by a laparoscope can be favorable to the cases of adenomyosis or large sized adenomyoma associated with pelvic adhesions,and vaginal subtotal hysterectomy should be recommended to those with small sized adenomyoma and functional uterine bleeding.

关 键 词：子宫良性病变 子宫次全切除术 阴式 腹腔镜 

分 类 号：R713.42[医药卫生—妇产科学]