腹腔镜与开腹手术在大子宫切除中的对比分析  

Comparison analysis of laparoscopic total hysterectomy and total abdominal hysterectomy for large uterus resection

作　　者：蒋薇[1] 陈小苑[1] 

机构地区：[1]福建省厦门市第二医院妇科,361021

出　　处：《中国实用医刊》2014年第5期36-37,共2页Chinese Journal of Practical Medicine

摘　　要：目的比较腹腔镜子宫切除术（LTH）和经腹全子宫切除术（TAH）治疗大子宫的临床疗效，探讨大子宫行腹腔镜下全子宫切除的可行性。方法以厦门市第二医院妇产科2008年1月至2011年12月因子宫良性疾病（子宫体积〉孕12周）而行子宫全切术的患者100例为治疗组，以同期收治的子宫良性疾病（子宫体积〉孕12周）而行子宫全切术的患者100例为对照组。治疗组给予腹腔镜全子宫切除术，对照组给予开腹全子宫切除术，比较两组临床疗效。结果治疗组手术时间、术中出血量、术后排气时间及术后住院时间较对照组少，差异有统计学意义。两组术后并发症发生率比较差异无统计学意义。结论对子宫良性疾病导致的大子宫患者，行腹腔镜全子宫切除术，只要严格掌握适应证，术中认清解剖，提高手术技巧，合理应用手术器械，能有效防止并发症的发生，可取得满意的临床疗效。Objective To compare the clinical effects of laparoscopic total hysterectomy （LTH） and total abdominal hysterectomy （TAH） on large uterus, and investigate the feasibility of LTH for large uterus. Methods One hundred cases of uterus benign disease（ the volume of uterus was larger than 12 weeks of pregnancy） underwent hysterectomy were the treatment group from January 2008 to December 2011. One hundred cases of the same disease were enrolled in the control group. Patients in treatment group were given LTH, and patients in control group were given TAH. The clinical effects were compared between the two groups. Results The operative time, intraoperative blood volume, anal exhausting time and postopererative hospital stay in the treatment group was shorter than those in the control group. There were significant differences. There was no singificant difference in the incidence of postoperative compli- cations between the two groups. Conclusions For large uterus caused by uterus benign disease, by gasping the strict indications, making clear the anatomy during operation, improving the operation skills and rational use of surgical instuments, the occurrence of complications can be effectively prevented, and the satisfactory clinical effect can be acquired by LTH.

关 键 词：腹腔镜全子宫切除术 开腹全子宫切除术 大子宫 

分 类 号：R713.42[医药卫生—妇产科学]