CAJ | 학술논문

目的：比较腹腔镜与经腹子宫切除术的临床疗效、安全性以及并发症发生情况。方法对收治的154例有子宫切除指征患者采用非随机对照法分为两组，一组为观察组采用腹腔镜手术，另一组为对照组采用经腹手术；两组患者在年龄及病情上无明显差异；观察两组临床疗效、安全性及术中、术后并发症。结果观察组手术时间为（72．0±13．2）min，明显短于对照组的（98．0±20．7）min（t＝3．396，P＝0．021）；观察组术中出血量（96．0±75．4）mL，明显少于对照组的（159．4±98．0）mL（t＝9．680，P＝0．014）；观察组肛门排气时间（17．2±4．2）h，明显短于对照组的（28．6±6．1）h（t＝9．760，P＝0．013）；观察组平均住院日（5．2±1．9）d，明显短于对照组的（9．5±3．2）d（t＝-5．025，P＝0．018）；观察组镇痛药的使用率（3/89）明显低于开腹手术组的（48/78）（t＝-8．820，P＝0．000）。结论腹腔镜子宫切除术安全、有效。值得在临床推广，同时提高操作技能是减少并发症的关键。
목적：비교복강경여경복자궁절제술적림상료효、안전성이급병발증발생정황。방법대수치적154례유자궁절제지정환자채용비수궤대조법분위량조，일조위관찰조채용복강경수술，령일조위대조조채용경복수술；량조환자재년령급병정상무명현차이；관찰량조림상료효、안전성급술중、술후병발증。결과관찰조수술시간위（72．0±13．2）min，명현단우대조조적（98．0±20．7）min（t＝3．396，P＝0．021）；관찰조술중출혈량（96．0±75．4）mL，명현소우대조조적（159．4±98．0）mL（t＝9．680，P＝0．014）；관찰조항문배기시간（17．2±4．2）h，명현단우대조조적（28．6±6．1）h（t＝9．760，P＝0．013）；관찰조평균주원일（5．2±1．9）d，명현단우대조조적（9．5±3．2）d（t＝-5．025，P＝0．018）；관찰조진통약적사용솔（3/89）명현저우개복수술조적（48/78）（t＝-8．820，P＝0．000）。결론복강경자궁절제술안전、유효。치득재림상추엄，동시제고조작기능시감소병발증적관건。
Objective To investigate the clinical efficacy and safety between laparoscopic and transabdomi -nal hysterectomy ,reduce the occurrence of complications measures .Methods On 154 cases of hysterectomy indica-tions were nonrandomly divided into two groups ,one group for the observation group of 79 cases of laparoscopic opera-tion,another group was control group of 75 patients with transabdominal operation;two groups had no significant differ-ence in age and disease .The clinical effect ,postoperative complications and safety between the two groups during and after operations were observed .Results The operation time of the laparoscopic group (72.0 ±13.2) min was signifi-cantly shorter than that of the control group (98.0 ±20.7)min (t=3.396,P=0.021);The bleeding quantity of the laparoscopic group(96.0 ±75.4)mL was significantly shorter than that of the control group (159.4 ±98.0)mL(t=9.680,P=0.014);The aerofluxus time of the laparoscopic group (17.2 ±4.2) h was significantly shorter than that of the control group(28.6 ±6.1)h(t=9.760,P=0.013).The average postoperative hospital stay time was significantly shorter in laparoscopic group(5.2 ±1.9)d than those in abdominal group(9.5 ±3.2)d (t=-5.025,P=0.018). The analgesic used in the laparoscopic group (3/89)was significantly shorter than that in the control group (48/78) (t=-8.820,P=0.000).Conclusion Laparoscopic hysterectomy is safe and effective .It is worth to promote in clinical,while improving the operation skills is the key to reduce the complications .