改良腹腔镜筋膜内子宫切除术与腹腔镜子宫全切术的临床应用效果比较  

Comparative study of laparoscopic total removal of internal improvements fascial hysterectomy and laparoscopic hysterectomy

作　　者：包艾玲 刘顺涛 

机构地区：[1]重庆市万州区第一人民医院妇产科,重庆404000

出　　处：《中国临床新医学》2016年第1期54-56,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨改良腹腔镜筋膜内子宫切除术与腹腔镜子宫全切术的临床应用效果。方法选择2010-05～2013-03该院行腹腔镜筋膜内子宫全切术及腹腔镜子宫全切病例162例,根据手术方法不同分为观察组（腹腔镜筋膜内子宫切除术）及对照组（腹腔镜子宫全切术）各81例,对两组手术时间、术中出血量、术后病率、住院费用、住院床日、术后性生活恢复、息肉、残端感染、副损伤进行比较。结果两组手术时间,术中出血量、术后病率、住院费用、住院床日、术后性生活时间、息肉、残端感染、副损伤比较差异均有统计学意义（P〈0.05）。结论改良腹腔镜筋膜内子宫切除术副损伤少,术中出血量少,值得临床推广。Objective To study the key points and clinical value of modified laparoscopic hysterectomy.Methods One hundred and sixty-two patients were collected in our hospital from May 2010 to March 2013 and were randomly divided into two groups,the treatment grouup（ laparoscopic fascial hysterectomy） and the control group（ laparoscopic hysterectomy）. The operative time,blood loss,postoperative morbidity,hospital costs,hospitalization days,sexual satisfaction after operation,polyps,stump infection and side injury were compared between the two groups. Results There were significant differences in the operative time,blood loss,postoperative morbidity,hospital costs,hospitalization days,sex satisfaction after operation,polyps,stump infection and side injury between the two groups（ P〈0. 05）. Conclusion Modified laparoscopic fascial hysterectomy is effective with less side injury and less bleeding.

关 键 词：改良腹腔镜筋膜内子宫切除术 腹腔镜子宫全切术 临床应用价值 

分 类 号：R713.42[医药卫生—妇产科学]