腹腔镜下与经腹子宫全切术治疗子宫良性病变临床观察  

Laparoscopic total hysterectomy versus transabdominal hysterectomy for benign uterine lesions

作　　者：程会芳[1] 刘自强[1] 

机构地区：[1]三门峡市中心医院妇科,河南三门峡472000

出　　处：《中华实用诊断与治疗杂志》2015年第9期899-900,共2页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的探讨腹腔镜下行子宫全切术治疗子宫良性病变的优势。方法 254例行子宫全切术子宫良性病变患者按手术方式分为2组,行腹腔镜下子宫全切术者158例为腹腔镜组,经腹行子宫全切术者96例为对照组,比较2组手术时间、术中出血量、术后排气时间、住院时间以及并发症发生情况。结果腹腔镜组手术时间[(132±22)min]较对照组[(90±24)min]长,术中出血量[(102±66)mL]较对照组[(168±62)mL]少,术后排气时间[(24±7)h]及住院时间[(3.5±0.7)d]较对照组[(43±15)h、(6.5±0.8)d]短,2组比较差异均有统计学意义(P<0.05);2组术后均无严重并发症发生。结论腹腔镜下子宫全切术可作为治疗子宫良性病变的首选术式。Objective To investigate the advantages of laparoscopic total hysterectomy for benign uterine lesions. Methods A total of 254 patients undergoing hysterectomy were divided into 2 groups according to operation procedure, 158 patients were performed laparoscopic total hysterectomy （claparoscopic group）, and 96 patients were performed transabdominal hysterectomy （control group）. The operation lasting time, blood loss volume, postoperative exhaust time, hospitalization stay and complications were compared between two groups. Results The operation lasting time was longer, the blood loss volume was less, and postoperative exhaust time and hospitalization stay were shorter in laparoscopic group （（132±22） rain, （102±66） mL, （24±7） h, （3.5±0.7） d） than those in control group （（90±24）min, （168±62） mL, （43±15） h, （6.5±0.8） d） （P〈0.05）. No serious complication occurred after operation in two groups. Conclusion Laparoscopic total hysterectomy is the first choice for benign uterine lesions.

关 键 词：子宫良性病变 子宫全切术 腹腔镜 经腹手术 

分 类 号：R713.42[医药卫生—妇产科学]