腹腔镜全子宫切除术在子宫肌瘤中的应用研究  

Applied Study of Total Laparoscopic Hysterectomy in Uterine Fibroid

作　　者：赵剑雯 ZHAO Jianwen(Obstetrics and Gynecology Department,The First People's Hospital of Kunshan,Kunshan Jiangsu 215300,China)

机构地区：[1]江苏省昆山市第一人民医院妇产科,江苏昆山215300

出　　处：《中国卫生标准管理》2020年第15期20-22,共3页China Health Standard Management

摘　　要：目的探讨腹腔镜全子宫切除术在子宫肌瘤中的应用价值。方法将我院2018年1月—2020年1月收治的100例子宫肌瘤患者依据手术方式差异分为两组,其中68例采用腹腔镜全子宫切除术(腹腔镜组),另外32例接受开腹子宫切除术治疗(开腹组),对比两组手术时间、术中出血量、住院时间及术后并发症发生率。结果相比开腹组,腹腔镜组的术中出血量最少,手术时间以及术后住院时间最短,差异具有统计学意义(P <0.05),且腹腔镜组患者术后并发症发生率(1.47%)较开腹组(15.63%)低,差异具有统计学意义(P <0.05)。结论采用腹腔镜全子宫切除术治疗子宫肌瘤效果显著,具有创伤小、术后恢复快、并发症少等临床优势。Objective To study the application value of total laparoscopic hysterectomy in uterine fibroid.Methods 100 uterine fibroid patients treated from January 2018 to January 2020 in our hospital were assigned to laparoscopic group(n=68)and abdominal group(n=32).Patients were treated with total laparoscopic hysterectomy or abdominal hysterectomy,respectively.Operation time,intraoperative bleeding volume,hospital stays and postoperative complication rate were compared.Results Compared with abdominal group,laparoscopic group had small intraoperative bleeding volume,short operation time and hospital stays(P<0.05);postoperative complication rate in laparoscopic group(1.47%)was significantly lower than abdominal group(15.63%)(P<0.05).Conclusion The total laparoscopic hysterectomy is featured as small trauma,fast recovery and few complications.

关 键 词：腹腔镜全子宫切除术 开腹子宫切除术 子宫肌瘤 并发症 住院时间 出血量 

分 类 号：R711[医药卫生—妇产科学]