中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
4期
41-43
,共3页
非脱垂子宫%阴式子宫切除术%腹式子宫切除术
非脫垂子宮%陰式子宮切除術%腹式子宮切除術
비탈수자궁%음식자궁절제술%복식자궁절제술
Non-prolapsed uterus%Laparoscopic assisted vaginal hysterectomy (LAVH)%Total abdomi-nal hysterectomy (TAH)
目的：探讨阴式或腹式子宫切除术在非脱垂性子宫良性疾病中的应用比较。方法：选取行阴式子宫切除术的非脱垂子宫患者40例为观察组，另选择同期进行腹式子宫切除术的非脱垂子宫患者40例为对照组。结果：两组手术时间和术中出血量比较差异无统计学意义（P＞0.05）。观察组患者术后肛门排气时间、术后下床活动时间和术后住院时间均明显短于对照组（P＜0.05或P＜0.01）。两组术中均未发生并发症，观察组患者术后出现并发症2例，对照组患者术后出现并发症4例。两组术中术后并发症比较差异无统计学意义（χ2＝0.18，P＞0.05）。两组患者术后3个月均进行随访，阴道残端愈合好，未发现残端肉芽组织增生、息肉形成和盆腔炎性包块等并发症。结论：阴式子宫切除术治疗具有术后胃肠功能恢复快，术后下床活动时间早、术后住院时间短和术后腹部无疤痕等优点，已逐渐取代腹式子宫切除术成为治疗非脱垂子宫良性疾病的首选术式。
目的：探討陰式或腹式子宮切除術在非脫垂性子宮良性疾病中的應用比較。方法：選取行陰式子宮切除術的非脫垂子宮患者40例為觀察組，另選擇同期進行腹式子宮切除術的非脫垂子宮患者40例為對照組。結果：兩組手術時間和術中齣血量比較差異無統計學意義（P＞0.05）。觀察組患者術後肛門排氣時間、術後下床活動時間和術後住院時間均明顯短于對照組（P＜0.05或P＜0.01）。兩組術中均未髮生併髮癥，觀察組患者術後齣現併髮癥2例，對照組患者術後齣現併髮癥4例。兩組術中術後併髮癥比較差異無統計學意義（χ2＝0.18，P＞0.05）。兩組患者術後3箇月均進行隨訪，陰道殘耑愈閤好，未髮現殘耑肉芽組織增生、息肉形成和盆腔炎性包塊等併髮癥。結論：陰式子宮切除術治療具有術後胃腸功能恢複快，術後下床活動時間早、術後住院時間短和術後腹部無疤痕等優點，已逐漸取代腹式子宮切除術成為治療非脫垂子宮良性疾病的首選術式。
목적：탐토음식혹복식자궁절제술재비탈수성자궁량성질병중적응용비교。방법：선취행음식자궁절제술적비탈수자궁환자40례위관찰조，령선택동기진행복식자궁절제술적비탈수자궁환자40례위대조조。결과：량조수술시간화술중출혈량비교차이무통계학의의（P＞0.05）。관찰조환자술후항문배기시간、술후하상활동시간화술후주원시간균명현단우대조조（P＜0.05혹P＜0.01）。량조술중균미발생병발증，관찰조환자술후출현병발증2례，대조조환자술후출현병발증4례。량조술중술후병발증비교차이무통계학의의（χ2＝0.18，P＞0.05）。량조환자술후3개월균진행수방，음도잔단유합호，미발현잔단육아조직증생、식육형성화분강염성포괴등병발증。결론：음식자궁절제술치료구유술후위장공능회복쾌，술후하상활동시간조、술후주원시간단화술후복부무파흔등우점，이축점취대복식자궁절제술성위치료비탈수자궁량성질병적수선술식。
Objectives:To compare the effects of laparoscopic assisted vaginal hysterectomy (LAVH)and total abdominal hysterectomy (TAH)in the treatment of non-prolapsed uterus benign diseases.Method:40 pa-tients with non-prolapsed uterus to receive LAVH were selected as the observation group,and another 40 patients with non-prolapsed uterus to receive TAH at the same time were the control group.Results:The operation time and the blood loss during the operation of patients in 2 groups were insignificantly different (P>0.05).The postop-erative anal exhaustion time,out-of-bed activity time and length of stay (LOS)of patients in observation group were significantly shorter than those in control group (P<0.05 or P<0.01),while the incidence of complications were insignificantly different (2 cases in the observation group and 4 in the control group)(χ2 =0.18,P>0.05). During the 3-month follow-up,vaginal stumps were well healed in both groups.No stump granulation tissue hy-perplasia ,or formation of polyps,pelvic inflammatory mass and other complications were found in the patients. Conclusion:LAVH was conducive to a quicker recovery of postoperative gastrointestinal function,earlier postopera-tive out-of-bed activity,shorter LOS,and scarless abdomen.Therefore,it gradually replaced TAH and became the preferred operation in the treatment of non-prolapsed uterus benign diseases.
