改良腹腔镜辅助下阴式切除术治疗大子宫的临床效果  

Clinical Effect of Improved Laparoscopically Assisted Vaginal Hysterectomy on Large Uterus

作　　者：高梅[1] 

机构地区：[1]河南省商丘市第一人民医院妇产科,476100

出　　处：《中国继续医学教育》2016年第3期89-90,共2页China Continuing Medical Education

摘　　要：目的探讨经改良腹腔镜辅助下阴式切除术治疗大子宫（〉12孕周）的方法与临床效果。方法将2013年2月~2015年3月收治的73例大子宫患者随机分为观察组38例,对照组35例,观察组采用改良腹腔镜辅助下阴式切除术式治疗,对照组采用传统腹腔镜辅助下阴式切除术式治疗,比较两组术中出血量、手术时间、术后肛门排气时间、术后住院天数以及术后并发症发生情况。结果观察组手术时间、术中出血量、术后肛门排气时间均少于对照组,组间比较差异有统计学意义（P〈0.05）;术后住院时间观察组略少于对照组,组间比较无统计学差异（P〉0.05）;术后并发症发生率观察组5.3%,对照组25.7%,组间比较差异具有统计学意义（P〈0.05）。结论与传统经LAVH相比,改良LAVH切除大子宫手术创伤小、出血少、恢复快,术后并发症发生率低。Objective To explore the methods and clinical effect of improved laparoscopically assisted vaginal hysterectomy to treat large uterus（12 gestational weeks）. Methods Randomly divided the 73 patients with large uterus who treated in our hospital from February 2013 to March 2015 into observation group and control group, observation group with 38 patients and control group with 35 patients. The patients in observation group accepted the improved laparoscopically assisted vaginal hysterectomy to treat the large uterus and the patients in control group treated with the conventional laparoscopically assisted vaginal hysterectomy. The amount of bleeding, time of operation during the operation, the time of postoperative passage of gas by anus, length of stay and postoperative complications occurrence of the patients in the two groups were compared. Results The time of operation, amount of bleeding and the time of postoperative passage of gas by anus of the observation group were obviously less than that of the control group, there was a significant difference between the two groups（P〈0. 05）. The length of stay of the patients in observation group was slightly less than that in control group, there was no significant difference between the two groups（P〈0. 05）. The postoperative complications occurrence rate of the observation group was 5.3% and that of the control group was 25.7%, there was a significant difference between the two groups and with the statistical significance（P〈0. 05）. Conclusion Comparedwith the conventional laparoscopically assisted vaginal hysterectomy, the improved LAVH to cut the large uterus has the characteristics of little operative wound, little bleeding, fast recovery and lower postoperative complications occurrence rate.

关 键 词：大子宫 改良腹腔镜辅助阴式子宫切除术 腹腔镜辅助阴式子宫切除术 

分 类 号：R711[医药卫生—妇产科学]