子宫动脉高位阻断在腹腔镜下次全子宫切除术中的临床意义  

Clinical significance of uterine arterial high interruption on laparoscopic supracevical hysterectomy

作　　者：王卫星[1] 邓秀娟[1] 杨帆[1] 杨腊枝 

机构地区：[1]江西省九江市妇幼保健院妇科,江西九江332000

出　　处：《中国现代医生》2014年第10期24-26,共3页China Modern Doctor

基　　金：江西省九江市科技计划项目(九科字[2012]63号)

摘　　要：目的 探讨子宫动脉高位阻断在腹腔镜下次全子宫切除术中的临床意义.方法 收集我院2010年6月～2013年6月腹腔镜下次全子宫切除术100例患者的临床资料,随机分为研究组和对照组,研究组术中子宫血管处理采用子宫动脉高位阻断法,对照组子宫血管处理采用宫颈套扎法.比较两组手术时间、术中出血量、术后肛门排气时间、术中术后宫颈残端出血发生率、术后性生活满意度.结果 两组手术时间、术后肛门排气时间、术中术后宫颈残端出血发生率、术后性生活满意度比较差异无统计学意义（P＞0.05）;术中出血量比较差异有统计学意义（P＜0.05）.结论 腹腔镜下次全子宫切除术中应用子宫动脉高位阻断较宫颈套扎法安全,能减少术中出血量,尤其适用于宫颈良性病变患者.Objective To explore the clinical significant of uterine arterial high interruption on laparoscopic supracevi- cal hysterectomy. Methods A retrospective analysis of maternal and children＇s hospital of Jiujiang from June 2010 to June 2013 were treated 100 cases of clinical data of patients. There were randomly divided into the research group and the control group, the research group were dealed with uterine blood vessels of uterine arterial high interruption, and the control group were dealed with loop ligature of the cervical. To compare with the operative time,peri-operative bleeding,the postoperative anal exhaust time, the incidence of cervical stump bleeding for intraoperative and postoper- ative and postoperative sexual satisfaction between the two groups. Results The operative time ,the postoperative anal exhaust time, postoperative sexual satisfaction and the incidence of cervical stump bleeding between the two groups had no statistical significance（P〉0.05）. The loss of intraoperative blood between the two groups had statistical significance （P〈0.05）. Conclusion Compare with loop ligature of the cervical,uterine arterial high interruption on laparoscopic supracevical hysterectomy are more safe, and can reduce the loss of intraoperative blood, especially suitable for the patients with cervical benign lesion.

关 键 词：子宫动脉 腹腔镜 次全子宫切除术 

分 类 号：R713.4[医药卫生—妇产科学]