中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
4期
649-651
,共3页
腹腔镜%筋膜内子宫切除术%改良%传统术式%效果%安全性
腹腔鏡%觔膜內子宮切除術%改良%傳統術式%效果%安全性
복강경%근막내자궁절제술%개량%전통술식%효과%안전성
laparoscopy%classic intrafascial Semm hysterectomy (CISH)%improvement%conventional surgery%effect%safety
目的：探讨改良腹腔镜筋膜内子宫切除术的临床效果及安全性。方法以104例拟行腹腔镜下子宫切除术的患者为研究对象，随机分成观察组与对照组，每组52例，对照组采取传统术式的腹腔镜筋膜内子宫切除术，观察组采取改良腹腔镜筋膜内子宫切除术。比较两组患者手术时间、术中出血量、中转开腹率、术后下床时间、术后排气时间、术后3d内最高体温、住院时间、住院费用、术后并发症发生率。结果观察组手术时间及术中出血量少于对照组（t值分别为11．760、9．207，均P＜0．01），且观察组患者术后下床时间及术后排气时间均少于对照组（t值分别为27．467、17．109，均P＜0．01），观察组住院费用少于对照组（t＝2．294，P＜0．05）。两组患者中转开腹率（χ2＝0．343，P＞0．05）、术后3d内最高体温（t＝0．683，P＞0．05）、住院时间（t＝1．492，P＞0．05）及术后并发症发生率（χ2＝0．070，P＞0．05）比较均无统计学差异。结论改良腹腔镜筋膜内子宫切除术手术时间短、术中出血量少、术后下床时间及术后排气时间短，术后并发症少，安全性好，有效节约住院费用，整体效果优于传统术式。
目的：探討改良腹腔鏡觔膜內子宮切除術的臨床效果及安全性。方法以104例擬行腹腔鏡下子宮切除術的患者為研究對象，隨機分成觀察組與對照組，每組52例，對照組採取傳統術式的腹腔鏡觔膜內子宮切除術，觀察組採取改良腹腔鏡觔膜內子宮切除術。比較兩組患者手術時間、術中齣血量、中轉開腹率、術後下床時間、術後排氣時間、術後3d內最高體溫、住院時間、住院費用、術後併髮癥髮生率。結果觀察組手術時間及術中齣血量少于對照組（t值分彆為11．760、9．207，均P＜0．01），且觀察組患者術後下床時間及術後排氣時間均少于對照組（t值分彆為27．467、17．109，均P＜0．01），觀察組住院費用少于對照組（t＝2．294，P＜0．05）。兩組患者中轉開腹率（χ2＝0．343，P＞0．05）、術後3d內最高體溫（t＝0．683，P＞0．05）、住院時間（t＝1．492，P＞0．05）及術後併髮癥髮生率（χ2＝0．070，P＞0．05）比較均無統計學差異。結論改良腹腔鏡觔膜內子宮切除術手術時間短、術中齣血量少、術後下床時間及術後排氣時間短，術後併髮癥少，安全性好，有效節約住院費用，整體效果優于傳統術式。
목적：탐토개량복강경근막내자궁절제술적림상효과급안전성。방법이104례의행복강경하자궁절제술적환자위연구대상，수궤분성관찰조여대조조，매조52례，대조조채취전통술식적복강경근막내자궁절제술，관찰조채취개량복강경근막내자궁절제술。비교량조환자수술시간、술중출혈량、중전개복솔、술후하상시간、술후배기시간、술후3d내최고체온、주원시간、주원비용、술후병발증발생솔。결과관찰조수술시간급술중출혈량소우대조조（t치분별위11．760、9．207，균P＜0．01），차관찰조환자술후하상시간급술후배기시간균소우대조조（t치분별위27．467、17．109，균P＜0．01），관찰조주원비용소우대조조（t＝2．294，P＜0．05）。량조환자중전개복솔（χ2＝0．343，P＞0．05）、술후3d내최고체온（t＝0．683，P＞0．05）、주원시간（t＝1．492，P＞0．05）급술후병발증발생솔（χ2＝0．070，P＞0．05）비교균무통계학차이。결론개량복강경근막내자궁절제술수술시간단、술중출혈량소、술후하상시간급술후배기시간단，술후병발증소，안전성호，유효절약주원비용，정체효과우우전통술식。
Objective To study the clinical effect and safety of improved laparoscopic intrafascial Semm hysterectomy .Methods Totally 104 cases intending to perform classic intrafascial Semm hysterectomy ( CISH ) were recruited in the study and randomly divided into observation group and control group with 52 cases in each group . The control group adopted traditional laparoscopic intrafascial hysterectomy , while the observation group accepted improved laparoscopic intrafascial hysterectomy .Comparison was made between two groups in the aspects of operation time , intraoperative blood loss , rate of transferring to laparotomy , postoperative activity beside bed , postoperative exhaust time , highest temperature within 3 days after surgery , length of hospital stay , hospitalization expenses , and the incidence of postoperative complications .Results The operation time and bleeding amount in the observation group were obviously less than the control group (t value was 11.760 and 9.207, respectively, both P<0.01), and the time to get off bed after surgery and postoperative exhaust time were significantly less in the observation group ( t value was 27.467 and 17.109, respectively, both P <0.01).The hospitalization expenses of the observation group was obviously less (t=2.294,P<0.05).But there were no significant differences in the rate of transferring to laparotomy (χ2 =0.343, P>0.05), postoperative highest temperature within 3 days after surgery (t=0.683, P>0.683), length of hospital stay (t=1.492, P>0.05) and the incidence of postoperative complications (χ2 =0.070,P>0.05) between two groups .Conclusion Improved laparoscopic intrafascial hysterectomy has the advantages of short operation time , little intraoperative blood loss, early ambulation after surgery , short postoperative exhaust time , few postoperative complications , safety and little hospitalization cost .The whole effect of it is superior to that of conventional surgery .
