腹腔镜下全子宫切除术的临床观察  

Clinical Observation of Laparoscopic Hysterectomy

作　　者：杨宁[1] 

机构地区：[1]江苏省昆山市第一人民医院妇科,江苏昆山215300

出　　处：《河北医学》2012年第12期1728-1732,共5页Hebei Medicine

摘　　要：目的:探讨腹腔镜下全子宫切除术的手术适应征、操作方法、术中术后并发症的处理及优缺点。方法:收集行全子宫切除术患者97例,分为腹腔镜组(45例)和开腹组(52例),收集并分析其临床资料,术后半年进行随访。结果:腹腔镜组术中估计出血量、肠功能恢复时间、住院时间均显著小于开腹组,而手术时间、留置引流管的比例数显著高于开腹组(P均<0.05)。两组各项术中、术后并发症比较无统计学差异(P均>0.05),术后6月随访显示两组在术后恢复正常生活时间及性生活严重影响比例存在显著差异。结论:腹腔镜下子宫切除术具有术中、术后并发症发生率低,术中出血少,肠功能恢复时间短,住院时间短的优点。改进的腹腔镜下全子宫切除术有利于缩短患者术后恢复正常生活时间,保持盆底的承托力。严格掌握腹腔镜子宫切除术适应征后选择病例,可达到更好的治疗效果。Objective： To investigate the indications of laparoscopic hysterectomy surgery, methods of the operation, intraoperative and postoperative complications and managements, the advantages and disad- vantages of the procedure. Method： 97 cases of hysterectomy were divided into the laparoscopic group （45 cases} and laparotomy group （52 cases}. The clinical data and follow-up after six months were collected and analyzed. Result： The estimated amount of bleeding tion time in the laparoscopic group were significantly less retained drainage tube was significantly higher than the , intestinal function recovery time and hospitaliza- than the laparotomy group. But the operative time, laparotomy group （ P 〈 0.05 ）. Intraoperative and postoperative complications between the two groups had no significant difference （P〉 0.05 }. Follow-up af- ter 6 months showed significant differences between two groups in postoperative recovery of the normal life and the proportion of the serious impact of the sexual life. Conclusion： Intraoperative and postoperative com- plication rate in laparoscopic hysterectomy was low. Less bleeding, shorter intestinal function recovery time and hospitalization time were the advantages of this procedure. Improved laparoscopic hysterectomy helped to shorten the postoperative recovery time of a normal life and keep the pelvic floor load bearing capacity. Strict controlling the indications of laparoscopic resection and patient selection could achieve a better therapeutic effect.

关 键 词：腹腔镜 全子宫切除术 子宫肌瘤 子宫肌腺症 

分 类 号：R713[医药卫生—妇产科学]