复杂子宫肌瘤腹腔镜下全子宫切除的可行性分析  

The feasibility analysis of laparoscopic total hysterectomy in the treatment of complex uterine fibroids

作　　者：梁锋[1] 

机构地区：[1]枣庄市妇幼保健院妇一科,277100

出　　处：《国际医药卫生导报》2015年第24期3582-3584,共3页International Medicine and Health Guidance News

摘　　要：目的探讨在腹腔镜下全子宫切除治疗复杂子宫肌瘤的可行性。方法我院2012年3月至2014年9月160例复杂子宫肌瘤患者，治疗组80例行腹腔镜下全子宫切除术，对照组80例行常规开腹手术，比较两组手术时间、术中出血量、术后排气时间、术后病率。结果治疗组手术时间明显长于对照组，术中出血量、术后肛门排气时间、术后病率均明显低于对照组，两组比较差异有统计学意义（P〈0．05）。结论腹腔镜下全子宫切除治疗复杂子宫肌瘤具有可行性，疗效好且创伤小，可降低手术难度，是微创手术治疗复杂子宫肌瘤的理想方法，在临床中推广应用中应注意手术技巧。Objective To analyze the feasibility of laparoscopic total hysterectomy in the treatment of complex uterine fibroids. Methods 160 cases of complex uterine fibroids in our hospital from March 2012 to September 2014 were selected. 80 cases in treatment group underwent laparoscopic total hysterectomy, while 80 cases in control group underwent conventional laparotomy. Compared operation time, intraoperative blood loss, postoperative exhaust time, postoperative disease rate of two groups. Results Operation time of treatment group was longer than that of control group, intraoperative blood loss, postoperative exhaust time, postoperative disease rate were lower than those of control group, with statistically significant differences between two groups （P〈0.05）. Conclusions Laparoscopic total hysterectomy is feasible for treatment of complex uterine fibroids, with good curative effect and little injury, and can be applied in the clinical; but we should pay attention to operation skills.

关 键 词：复杂子宫肌瘤 腹腔镜 全子宫切除 开腹手术 

分 类 号：R473.71[医药卫生—护理学]