腹腔镜与开腹对较小子宫行全子宫切除的临床效果对比分析  

Comparative Analysis of the Clinical Effects of Laparoscopic and Laparotomy for Total Hysterectomy of Smaller Uterus

作　　者：费翠芹 FEI Cui-qin(Department of Gynecology,Lianshui County People's Hospital,Huaian,Jiangsu Province,223400 China)

机构地区：[1]涟水县人民医院妇科,江苏淮安223400

出　　处：《系统医学》2020年第19期137-139,共3页Systems Medicine

摘　　要：目的分析腹腔镜与开腹对子宫<孕10周大小的子宫肌瘤患者行子宫切除的临床优势。方法选择该院2017年8月—2019年7月期间临床因子宫肌瘤行全子宫切除的79例患者(子宫<孕10周大小)作为该次研究对象,根据其手术途径进行分组,腹腔镜下子宫切除组为观察组,开腹子宫切除组为对照组,将两组手术指标、并发症发生率、以及VAS评分进行对比。结果观察组患者术中出血量(75.1±13.2)mL、排气时间(25.21±1.5)h、住院时间(8.2±1.2)d、手术时间(110.25±26.5)min,与对照组相比较,差异有统计学意义(t=6.005、34.520、5.031、3.208,P<0.05);观察组并发症发生率2.22%较对照组8.82%低,组间差异无统计学意义(χ2=0.651,P>0.05);观察组VAS评分(2.01±0.21)分低于对照组VAS评分(4.25±1.27)分,差异有统计学意义(t=11.646,P<0.05)。结论通过对子宫<孕10周左右子宫肌瘤患者实施腹腔镜下子宫切除手术治疗,手术时间较短,术中出血量少,术后恢复更快,住院时间短,并发症发生率低。Objective To analyze the clinical advantages of laparoscopic and laparotomy for hysterectomy in patients with uterine fibroids whose uterus is less than 10 weeks gestational.Methods From August 2017 to July 2019,79 patients(uterus<10 weeks gestation size)who underwent total hysterectomy for clinical factors of uterine fibroids were selected as the research objects,and they were grouped according to their surgical approach,and laparoscopic hysterectomy The group was the observation group,and the open hysterectomy group was the control group.The surgical indicators,complication rate,and VAS score were compared between the two groups.Results In the laparoscopic hysterectomy group,intraoperative blood loss(75.1±13.2)mL,exhaust time(25.21±1.5)h,hospitalization time(8.2±1.2)d,operation time(110.25±26.5)min,compared with the control group,the differences were statistically significant9(t=6.005,34.520,5.031,3.208,P<0.05);the incidence of complications in the observation group 2.22%was lower than that of the control group 8.82%,but there was no statistically significant difference from the control group(χ2=0.651,P>0.05);the VAS score of the observation group(2.01±0.21)points was lower than the VAS score of the control group(4.25±1.27)points,the differences was statistically significant(t=11.646,P<0.05).Conclusion By performing laparoscopic hysterectomy for patients with uterine fibroids less than 10 weeks gestation,the operation time is shorter,the amount of intraoperative blood loss is less,the postoperative recovery is faster,the hospital stay is short,and the incidence of complications is low.

关 键 词：腹腔镜手术 开腹手术 子宫肌瘤 子宫全切除术 临床效果 

分 类 号：R713[医药卫生—妇产科学]