腹腔镜全子宫切除术治疗子宫良性疾病的效果观察  

Effects of total laparoscopic hysterectomy on benign uterine diseases

作　　者：贾文娟[1] Jia Wenjuan(Department of Gynecology,Huainan Maternal and Child Health Care Hospital,Huainan 232007,Anhui Province,China)

机构地区：[1]淮南市妇幼保健院妇科,安徽省232007

出　　处：《中国基层医药》2021年第9期1364-1367,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察腹腔镜全子宫切除术治疗子宫良性疾病的临床效果。方法选取2019年1月至2020年12月淮南市妇幼保健院收治因子宫良性疾病需要子宫切除患者50例,按照随机数字表法分为腹腔镜组和开腹组各25例。腹腔镜组采用多孔腹腔镜下全子宫切除术(TLH),开腹组采用传统开腹手术。比较两组手术出血量、手术时间、术后肠道通气时间、术中及术后并发症、住院时间等。结果腹腔镜组手术时间[(98.2±19.3)min]、术后肠道通气时间[(19.7±3.9)min]及住院时间[(9.2±2.2)d]均短于开腹组的(125.0±44.5)min、(44.9±6.0)min、(10.9±2.8)d,差异均有统计学意义(t=2.757、17.369、2.394,均P<0.05);腹腔镜组术中出血量为(61.6±3.9)mL,少于开腹组的(266.0±31.2)mL,差异有统计学意义(t=3.259,P<0.05);两组术中及术后并发症差异均无统计学意义(均P>0.05)。结论腹腔镜全子宫切除术用于治疗子宫良性疾病,具有微创、术后恢复快等优势,手术难度可控。Objective To investigate the clinical efficacy of total laparoscopic hysterectomy in the treatment of benign uterine diseases.Methods Fifty patients who underwent hysterectomy because of benign uterine diseases in Huainan Maternal and Child Health Care Hospital from January 2019 to December 2020 were included in this study.They were randomly assigned to undergo either total laparoscopic hysterectomy(TLH group,n=25)or conventional open surgery(COS group,n=25).Amount of blood loss,operative time,postoperative time to first anal exhaust,intraoperative and postoperative complications,length of hospital stay were compared between the TLH and COS groups.Results Operative time,postoperative time to first anal exhaust,length of hospital stay in the TLH group were(98.2±19.3)minutes,(19.7±3.9)minutes,and(9.2±2.2)days,respectively,which were significantly shorter than those in the COS group[(125.0±44.5)minutes,(44.9±6.0)minutes and(10.9±2.8)days,t=2.757,17.369 and 2.394,all P<0.05].The amount of blood loss in the TLH group was significantly less than that in the COS group[(61.6±3.9)mL vs.(266.0±31.2)mL,t=3.259,P<0.05].There were no significant differences in intraoperative and postoperative complications between the two groups(both P>0.05).Conclusion Total laparoscopic hysterectomy for the treatment of benign uterine diseases has advantages including minimal invasion,rapid postoperative recovery,and controllable operation difficulty.

关 键 词：子宫疾病 子宫切除术 腹腔镜检查 妇科外科手术 手术后并发症 手术时间 失血 手术 

分 类 号：R713.42[医药卫生—妇产科学]