腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的效果观察  

Effect of laparoscopically assisted vaginal hysterectomyin the treatment of gigantic hysteromyoma

作　　者：刘灵霞[1] 陈琼[1] 何莎[1] LIU Lingxia;CHEN Qiong;HE Sha(Department of Obstetrics and Gynecology,Chongqing Ba'nan People's Hospital, Chongqing 401320,China)

机构地区：[1]重庆市巴南区人民医院妇科,重庆401320

出　　处：《中国性科学》2019年第1期84-86,共3页Chinese Journal of Human Sexuality

基　　金：重庆市临床重点专科建设项目(渝卫[2012]143号)

摘　　要：目的研究腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的效果。方法选择重庆市巴南区人民医院在2016年5月至2017年5月收治的100例巨大子宫肌瘤患者精心观察,随机将患者而分为对照组50例及治疗组50例。为对照组患者实施传统开腹子宫切除术,治疗组患者使用腹腔镜辅助阴式全子宫切除术,对比两组两组患者的手术情况及一般情况。结果治疗组患者的手术、住院、下床活动、术后排气的时间及术中出血量、抗生素使用时间分别为(117. 2±21. 25) min、(5. 23±1. 02) d、(1. 71±0. 58) d、(23. 54±9. 52) h、(118. 25±65. 23) ml、(1. 51±0. 11) d,对照组患者的手术时间、住院时间、下床活动时间、术后排气时间、术中出血量、抗生素时间分别为(131. 23±20. 12) min、(7. 52±1. 02) d、(2. 25±0. 70) d、(45. 16±10. 25) h、(145. 36±72. 36) ml、(3. 62±1. 52) d,以此表示治疗组患者手术一般情况、抗生素使用及手术排气时间都短与对照组,并且治疗组患者术中出血量比对照组少,数据差异具有统计学意义(P <0. 05)。对照组患者切口感染和皮下气肿的发生情况为5(10%)、4(8%),治疗组患者切口感染和皮下气肿的发生情况为1(2%)、1(2%),明显治疗组患者并发症比对照组低,差异具有统计学意义(P <0. 05)。结论在对巨大子宫肌瘤治疗的过程中,使用腹腔镜辅助阴式全子宫切除术能够缩短手术时间,使患者尽早出院,降低患者出血量,值得临床推广使用。Objective To study the effect of laparoscopically assisted vaginal hysterectomy in the treatment of gigantic hysteromyoma.Methods 100 patients with gigantic hysteromyoma admitted in our hospital from May 2016 to May 2017 were selected and randomly divided into treatment group and control group,with 50 patients in each group.Control group received conventional laparotomy hysterectomy,and the treatment group received laparoscopically assisted vaginal hysterectomy.Operation time,length of hospital stay,ambulation time,postoperative exhaust time,intraoperative blood loss and antibiotics administration time of the two groups were compared.Results Operation time,length of hospital stay,ambulation time,postoperative exhaust time,intraoperative blood loss and antibiotics administration time of treatment group were(117.2±21.25)min,(5.23±1.02)d,(1.71±0.58)d,(23.54±9.52)h,(118.25±65.23)ml,and(1.51±0.11)d respectively,and they were respectively(131.23±20.12)min,(7.52±1.02)d,(2.25±0.70)d,(45.16±10.25)h,(145.36±72.36)ml and(3.62±1.52)d accordingly in control group.The operation time,length of hospital stay,antibiotics administration time and postoperative exhaust time of treatment group were shorter than those of control group,and the intraoperative blood loss of treatment group was less than that of control group,with statistically significant differences(P<0.05).The rates of wound infection(10%)and subcutaneous emphysema(8%)in control group were significant higher than these of treatment group respectively[(2%),(2%)](P<0.05).Conclusions In the treatment of gigantic hysteromyoma,laparoscopic assisted vaginal hysterectomy can shorten the operation time and hospital stay,and reduce intraoperative blood loss,which is worth clinical promotion.

关 键 词：腹腔镜 阴式全子宫切除术 巨大子宫肌瘤 

分 类 号：R711[医药卫生—妇产科学]