腹腔镜全子宫切除剪刀环形和电器械环形切开阴道穹窿在良性子宫病变中的疗效对比观察  

The vaginal fornix incision through scissors ring and electrical equipment ring under laparoscope for hysterectomy in the treatment of benign uterine lesions

作　　者：梁丹丹[1] 章芸[1] 陈健华[1] 杨恒生[1] 

机构地区：[1]东莞市桥头医院妇产科,广东523523

出　　处：《齐齐哈尔医学院学报》2016年第11期1431-1432,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨腹腔镜全子宫切除剪刀环形和电器械环形切口阴道穹窿在良性子宫病变中的临床治疗效果。方法选取2012年1月至2015年9月我院诊治的60例良性子宫病变患者随机分为两组,每组30例。对照组采用腹腔镜电器械环形切开阴道穹窿,实验组采用腹腔镜剪刀环形切开阴道穹窿,比较两组疗效。结果实验组术中出血量多于对照组(P<0.05);实验组手术时间、术后排气时间、住院时间与对照组比较无明显差异(P>0.05);实验组并发症发生率为3.3%,显著低于对照组的23.3%(P<0.05)。结论良性子宫病变患者采用腹腔镜全子宫切除剪刀环形切开阴道穹窿效果理想,能够提高临床疗效,降低并发症,值得推广应用。Objective To evaluate the clinical efficacy of shears ring and electrical equipment circular incision in the vaginal vault in the treatment of benign uterine diseases under laparoscope. Methods 60 cases of benign uterine lesion patients received laparoscopic hysterectomy in our hospital during January 2012 and September 2015 were randomly divided into two groups,30 cases in each group. The control group,the vaginal fornix incision through electrical equipment annular incision under laparoscope,in the experimental group scissors annular incision was adopted under laparoscope. The efficacy of the two groups was compared. Results The blood loss of experimental group was a little more than the control group（ P〈0.05）. The differences of operative time,postoperative discharge time and hospitalization time between the two group were not statistically significant（ P〉0.05）. The complication rate of the experimental group was 3. 3 %,which significantly lower than the 23.3% in the control group（ P〈0.05）. Conclusions For the patients with benign uterine disease and need laparoscopic hysterectomy,scissors ring in vaginal vault would obtain better effect,it can improve clinical outcomes,reduce incidence of complications,and should be widely applied.

关 键 词：腹腔镜 全子宫切除 剪刀环形 电器械环形 阴道穹窿 良性子宫病变 

分 类 号：R713.42[医药卫生—妇产科学]