新式阴式子宫全切除术与传统子宫全切除术式对比分析  

Comparative study between modified abdominohysterectomy and total hysterectomy

作　　者：赵巍[1] 

机构地区：[1]内蒙古民族大学附属医院妇产科,内蒙古通辽028000

出　　处：《中国当代医药》2013年第4期45-46,共2页China Modern Medicine

摘　　要：目的探讨两种阴式子宫全切除术的可行性﹑临床效果和安全性。方法回顾性分析2010年1月～2011年10月本院行阴式子宫切除术患者90例的临床资料,观察其手术效果和术后情况。其中新式阴式子宫切除术(利用血管闭合系统Ligasure系统)45例(改良组),同期行传统的阴式子宫全切术45例(对照组),比较手术效果和术后恢复情况。结果改良组平均手术时间、术中平均出血量[(49±22)min、(140±30)mL]和对照组[(63±31)min、(220±35)mL]比较,差异有统计学意义(P﹤0.05)。两组术后排气时间、住院时间比较[(26±4)h、(3.8±0.6)dvs(28±6)h、(4.4±0.2)d],差异无统计学意义(P﹤0.05)。结论新式子宫全切除术与传统子宫全切除术比较,手术效果好,范围广,创伤小,值得推广应用。Objective To study the feasibility, clinical effects and safety of modified abdominohysterectomy. Methods The clinical data of 90 cases who underwent total hysterectomy（45 cases） and modified abdominohysterectomy （45 cas- es） from January 2010 to October 2011 were retrospectively analyzed and the operative effects and postoperative re- covery of two methods were compared. Results There were significant differences in the average operation time and amount of blood loss during operation between modification group[（49±22） min and （140±30） mL] and control group[ （63±1） rain and （220±5）mL] （P〈 0.05）. There was no significant difference in the time of exhaust ,disease incidence and average hospitalization between modification group [（26±） h, （3.8±.6） d ] and control group [（28±6） h, （4.4±.2） d]. Conclusion This operative technique has better operative effects, less damage and fewer complications compared with the traditional method and it is worthy of popularizing.

关 键 词：阴式子宫切除术 传统手术 改良术式 对比 

分 类 号：R71[医药卫生—妇产科学]