腹腔镜下子宫全切术与腹式子宫全切术的临床效果比较  

Clinical effect comparison between laparoscopic total hysterectomy andabdominal hysterectomy

作　　者：吴春燕 

机构地区：[1]江西省新余市人民医院妇产科,江西新余338000

出　　处：《中国当代医药》2015年第25期100-101,104,共3页China Modern Medicine

摘　　要：目的比较腹腔镜下子宫切除术和腹式子宫全切术的临床效果。方法选取2012年9月~2015年1月本院收治的102例子宫全切术患者作为研究对象,随机分为实验组和对照组。实验组给予腹腔镜子宫全切术,对照组给予腹式子宫全切术,比较两组的手术时间、术中出血量、排气时间、住院时间、并发症发生率等临床指标。结果实验组的手术时间、排气时间、住院时间显著短于对照组,差异有统计学意义（P〈0.05）。实验组的术中出血量显著少于对照组,差异有统计学意义（P〈0.05）。实验组的并发症发生率显著低于对照组,差异有统计学意义（P〈0.05）。结论与腹式子宫全切术相比,腹腔镜下子宫全切术具有手术时间短、术中出血量小、手术切口小、术后恢复快、并发症少等优点,值得临床推广应用。Objective To compare the clinical effect between laparoscopic total hysterectomy and abdominal hysterectomy. Methods 102 cases with total hysterectomy from September 2012 to January 2015 in our hospital were selected and randomly divided into the experimental group and the control group.The experimental group was treated with laparoscopic total hysterectomy,the control group was treated with abdominal hysterectomy.The duration of operation,intraoperative blood loss,exsufflation time,length of hospital stay,the incidence rate of complication in two groups was compared respectively. Results The duration of operation,exsufflation time and length of hospital stay in the experimental group was shorter than that in the control group,with significant difference（P 0.05）.The amount of intraoperative blood loss in the experimental group was less than that in the control group,with significant difference（P0.05）.The ncidence rate of complication in the experimental group was lower than that in the control group,with significant difference（P0.05）. Conclusion Compared with abdominal hysterectomy,the laparoscopic total hysterectomy has many advantages,such as shorter operation time,less intraoperative blood loss,rapid postoperative recovery and few complications,it is worthy of clinical promotion and application.

关 键 词：腹腔镜 子宫全切术 对比 临床指标 临床价值 

分 类 号：R713.42[医药卫生—妇产科学]