腹腔镜与开腹子宫切除术的临床对比观察  

Clinical Comparative Observation of Laparoscopic and Open Hysterectomy

作　　者：胡钰 王新华 HU Yu;WANG Xin-hua(Department of Obstetrics and Gynecology,Lingyuan Central Hospital,Chaoyang City,Liaoning Province,Liaoning Chaoyang 122500)

机构地区：[1]辽宁省朝阳市凌源市中心医院妇产科,辽宁朝阳122500

出　　处：《中国医疗器械信息》2022年第15期107-109,共3页China Medical Device Information

摘　　要：目的:评价子宫切除患者行腹腔镜、开腹子宫切除术的预后效果,为妇科治疗提供参考。方法:选择2019年5月~2020年2月本院妇科诊治的80例子宫切除治疗患者,以1:1比例法分为腹腔镜子宫切除术治疗的观察组(n=40)、开腹子宫切除术治疗的对照组(n=40)。比较2组子宫切除术患者的手术情况(围术期指标、术后并发症、术后3个月生活质量)。结果:组间手术相关指标比较,观察组子宫切除术患者的手术时间短、术中出血量少、术后排气时间与留置尿管时间、住院时间短(P<0.05);组间术后感染、膀胱损伤等并发症情况比较,观察组子宫切除术患者发生率(5.00%)更低(P<0.05);以生活质量综合评定问卷(Generic Quality of Life Inventory 74,GQOL-74)评估子宫切除术患者的生活质量,观察组患者躯体、心理以及社会功能等评分均明显高于对照组(P<0.05)。结论:与开腹子宫切除术比较,腹腔镜子宫切除术治疗减少了患者的手术损伤、缩短了术后康复时间,并进一步降低了术后并发症发生风险,提升了患者的生活质量,是理想的术式。Objective:To evaluate the prognostic effect of laparoscopic and open hysterectomy in patients with hysterectomy,and to provide reference for gynecological treatment.Methods:80 hysterectomy patients who were diagnosed and treated by the gynecology department of our hospital from May 2019 to February 2020 were selected.The patients were divided into the observation group(n=40)treated by laparoscopic hysterectomy and the control group(n=40)treated by open hysterectomy according to the ratio of 1:1.The operative conditions of the two groups of hysterectomy patients(perioperative indicators,postoperative complications,quality of life 3 months after surgery)were compared.Results:Compared with the operation-related indicators between the groups,the observation group had shorter operation time,less intraoperative blood loss,postoperative exhaust time and indwelling catheter time,and shorter hospital stay(P<0.05);In the comparison of postoperative infection,bladder injury and other complications between the groups,the incidence of hysterectomy patients in the observation group(5.00%)was lower(P<0.05);The Generic Quality of Life Inventory 74(GQOL-74)was used to evaluate the quality of life of patients undergoing hysterectomy.The physical,psychological and social function scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:Compared with open hysterectomy,laparoscopic hysterectomy treatment reduces the patient’s surgical damage,shortens the postoperative recovery time,and further reduces the risk of postoperative complications,and improves the patient’s quality of life.It is an ideal operation.

关 键 词：腹腔镜子宫切除术 开腹子宫切除术 围术期指标 术后并发症 生活质量 

分 类 号：R715[医药卫生—妇产科学]