对子宫肌瘤或子宫腺肌病所致大子宫患者进行腹腔镜下全子宫切除术的效果探讨  

To investigate the effect of total hysterectomy under laparoscope in patients with large uterus caused by uterine fibroids or adenomyosis

作　　者：蒲丹 张川利[1] Pu Dan;zhang chuanli(department of gynecology,the second people's hospital of yibin,yibin Sichuan 644000)

机构地区：[1]宜宾市第二人民医院妇科

出　　处：《当代医药论丛》2019年第20期4-6,共3页

摘　　要：目的:探讨对子宫肌瘤或子宫腺肌病所致大子宫患者进行腹腔镜下全子宫切除术的临床效果.方法:选择2013年1月至2017年1月期间宜宾市第二人民医院收治的118例子宫肌瘤或子宫腺肌病所致大子宫患者作为研究对象.将这些患者随机分为对照组(n=58)与观察组(n=60).对观察组患者进行腹腔镜下全子宫切除术,对对照组患者进行开腹全子宫切除术,然后比较两组患者手术的时间、术中的出血量、术毕至肛门排气的时间、术后发热持续的时间、术后住院的时间及其术后发生并发症的情况.结果:两组患者手术的时间相比,差异无统计学意义,P>0.05.观察组患者术中的出血量少于对照组患者,其术毕至肛门排气的时间、术后发热持续的时间和术后住院的时间均短于对照组患者,差异有统计学意义,P<0.05.术后对两组患者进行3个月的随访显示,其均未出现严重的并发症.结论:对子宫肌瘤或子宫腺肌病所致大子宫患者进行腹腔镜下全子宫切除术的效果显著,可有效地减少其术中的出血量,缩短其术后恢复的时间,且手术的安全性较高.objective:to investigate the clinical effect of laparoscopic total hysterectomy on patients with uterine fibroids or large uterus caused by adenomyosis.Methods:118 patients with uterine fibroids or large uterus caused by adenomyosis admitted to the second people's hospital of yibin from January 2013 to January 2017 were selected as the study subjects.These patients were randomly divided into control group(n=58)and observation group(n=60).Patients in the observation group were treated with total hysterectomy under laparoscope,and patients in the control group were treated with total hysterectomy under laparoscope.Then,the operative time,intraoperative blood loss,postoperative time to anal exhaust,postoperative fever duration,postoperative hospital stay and postoperative complications were compared between the two groups.Results:there was no significant difference in the operation time between the two groups P>0.05.The amount of intraoperative blood loss in the observation group was less than that in the control group,and the time from the completion of surgery to anal exhaust,the duration of postoperative fever and postoperative hospitalization were all shorter than that in the control group,with statistically significant differences P<0.05.Postoperative follow-up of 3 months in both groups showed no serious complications.Conclusion:laparoscopic total hysterectomy is effective in patients with uterine fibroids or large uterus caused by adenomyosis,which can effectively reduce the amount of bleeding during the operation and shorten the postoperative recovery time,and the operation is relatively safe.

关 键 词：子宫肌瘤 子宫腺肌病 大子宫 腹腔镜下全子宫切除术 开腹全子宫切除术 

分 类 号：R713.42[医药卫生—妇产科学]