腹腔镜与经腹残端宫颈切除术的疗效分析  

Clinical analysis of laparoscopic and abdominal surgery with the removal of the retained cervical stump

作　　者：贺捷[1,2] 唐洁 田文芳[1,2] 

机构地区：[1]湖南省肿瘤医院 [2]中南大学湘雅医学院附属肿瘤医院妇瘤一科,湖南长沙410013

出　　处：《黑龙江医药科学》2015年第3期108-109,111,共3页Heilongjiang Medicine and Pharmacy

摘　　要：目的:比较子宫次全切除术后再次手术经腹或腹腔镜下行残端宫颈切除术的疗效,寻找更合适的残端宫颈切除方法。方法:回顾分析2013-07~2014-06湖南省肿瘤医院收治的行残端宫颈切除术的40例患者的临床资料,比较经腹与腹腔镜残端宫颈切除术的疗效。结果:40例子宫次全切除术患者均因宫体良性疾患及年轻要求保留宫颈,20例行经腹残端宫颈切除术,其中宫颈上皮内瘤变(CINII^III或CINIII级)11例,宫颈肌瘤4例,盆腔手术(卵巢或输卵管炎症或良性肿瘤)5例;20例行腹腔镜下残端宫颈切除术,其中宫颈上皮内瘤变(CINII^III或CINIII级)10例,宫颈肌瘤6例,盆腔手术(卵巢或输卵管炎症或良性肿瘤)4例。结论:腹腔镜下残端宫颈切除术安全可行,其手术时间与经腹组相比差异无统计学意义,术中出血量、术后肠功能恢复时间均优于经腹手术。Objective： To investigate the indications for and the prevention of the complications of abdominal or laparoscopic removal of the retained cervical stump after previous supracervical hysterectomy.Methods： The clinical data of total 40 patients undergoing the removal of the retained cervical stump,who visited Hunan Tumor Hospital between July 2013 and June 2014,were analyzed,retrospectively（Cases of stump cancer were not included）.Results： 40 patients had cervix reserved due to the benign lesions of the uterine body and their young age.20 cases underwent abdominal approach including 11 cervical intraepithelial neoplasia（CINII - III or CINIII）,4 cervical myoma,5 pelvic disease（inflammation or benign tumor of the oviduct and ovary）; while 20 cases underwent laparoscopic approach including 10 cervical intraepithelial neoplasia（CINII - III or CINIII）,6 cervical myoma,4 pelvic disease（inflammation or benign tumor of the oviduct and ovary）.Conclusions： Laparoscopic removal of the retained cervical stump is feasible.The length of operation time is no longer than abdominal surgery.The blood loss,recovery time of bowel function in laparoscopic surgery have a better outcome than abdominal surgery.

关 键 词：子宫次全切除术 宫颈残端切除术 腹腔镜手术 

分 类 号：R713.4[医药卫生—妇产科学]