腹腔镜子宫切除术两种手术方式在基层医院的临床应用研究  

Clinical application of Two kinds of laparoscopic hysterectomy in primary hospital

作　　者：朱晨燕 蒋松 万晨东 Zhu Chen-yan;Jiang Song;Wan Chen-dong(Department of Gynecology,Yixing Fourth People 's Hospital, Yixing, Jiangsu, 214207, China)

机构地区：[1]江苏省宜兴市第四人民医院妇产科,江苏宜兴214207

出　　处：《当代医学》2017年第35期17-20,共4页Contemporary Medicine

摘　　要：目的探讨腹腔镜全子宫切除术(TLH)和腹腔镜辅助阴式子宫切除术(LAVH)在基层医院的临床应用效果。方法回顾性分析比较61例LAVH和60例TLH的基本资料、手术时间、出血量、排气时间、住院时间及术后病率、并发症发生率。结果两组均无中转开腹手术。TLH组的手术时间(120.2±17.8)min显著长于LAVH组(100.4±19.2)min,两组比较差异具有统计学意义(P<0.05),TLH组的出血量(120.4±14.3)m L显著多于LAVH组(90.8±16.8)m L,两组比较差异具有统计学意义(P<0.05),TLH组和LAVH组并发症发生率均3.3%,两组比较差异无统计学意义。结论基层医院的妇产科医生经过专业的腹腔镜手术训练,在熟练掌握腹腔镜技术后,LAVH和TLH均能成功应用于临床,并且LAVH相对TLH操作简单、对腔镜设备要求低而更占优势。Objective To explore the clinical application effect of Two kinds of laparoscopic hysterectomy in primary hospital.Methods The basic information,operation time,blood loss,exhaust time,days of hospitalization,postoperative morbidity,recovery status were compared between60cases of TLH and61cases of LAVH.Results The laparoscopic procedures were completed in two groups.The mean intraoperative blood loss,operation time of the TLH group were all significantly more than those of LAVH group[(120.4±14.3)min vs.(100.4±19.2)min;(120.4±14.3)mL vs.(90.8±16.8)mL].No significant difference was detected in the rate of complications between the two groups[3.3%(2/61)vs.3.3%(2/60)].ConclusionAfter professional laparoscopic surgery training,in mastery of laparoscopic technology,LAVH and TLH of Gynecologist in primary hospital can be successfully applied and LAVH more dominant than TLH.

关 键 词：腹腔镜全子宫切除术 腹腔镜辅助阴式全子宫切除术 基层医院 妇产科 对照 

分 类 号：R713.42[医药卫生—妇产科学]