腹腔镜鞘膜内子宫全切除术与经腹筋膜内子宫全切除术临床对比研究  

The Comparative Study of Hysterectomy and total abdominal hysterectomy in laparoscopic sheath

作　　者：袁瑗[1] 杨琳芬[1] 吴晓霞[1] 陈春玲[1] 杨帆[1] 

机构地区：[1]四川省罗江县人民医院,四川罗江618500

出　　处：《中国卫生产业》2013年第19期10-11,共2页China Health Industry

摘　　要：目的通过对行腹腔镜鞘膜内子宫全切除与经腹子宫全切除患者临床资料的对比分析,研究该类疾病的临床治疗特点。方法选取该院2009年1月—2013年3月就诊的需行子宫全切除术的患者60例,随机分为A、B两组,每组各30例。比较两组患者在手术时间、术中出血量、术后首次排气、阴道出血发生率等方面的差异。结果 A组的手术时间、术中出血量、阴道出血发生率与B组比较,P>0.05,差异不具有统计学意义;A组在术后首次排气、拔出导尿管时间、住院时间等方面和B组比较,P<0.05,差异具有统计学意义。结论腹腔镜鞘膜内子宫全切除术与经腹筋膜内子宫全切术相比,具有术后恢复快、手术创伤小等特点,值得临床推广使用。Objective By the Comparative analysis of laparoscopic sheath hysterectomy and total abdominal hysterectomy in patients with clinical data to study the clinical features of the desease. Methods To select 60 cases need hysterectomy subtotal hysterectomy from January, 2009 to march, 2013 in our hospital and divide them into A, B two groups with 30 members randomly. The two groups are compared in operative time, blood loss, postoperative first exhaust vaginal bleeding rate,etc. Results The comparison on operative time, vaginal bleeding rate is P〉0.05. The difference is not statistically significance. The comparison on blood loss, postoperative initial exhaust, the time of Pulling out the catheter and hospital stay is P〈0.05. The difference is statistically significance. Conclusion Compared with abdominal hysterectomy, the Laparoseopic hysterectomy surgery sheath is worth of clinical using for its less in blood loss, quick in recovery, minor in surgical trauma, etc.

关 键 词：腹腔镜 鞘膜内子宫全切术 筋膜内子宫全切术 临床效果 

分 类 号：R445.1[医药卫生—影像医学与核医学]