CAJ | 학술논문

目的：探讨良性病变的子宫施行腹腔镜下子宫次全切除术与经腹子宫次全切除术两种术式的临床效果。方法：回顾性分析整理我院妇科2011年6月-2013年9月良性病变的子宫腹腔镜下行子宫次全切除术的30例患者病例资料，同时选取同时期经腹次全子宫切除病例34例为对照组，比较两组患者的术中和术后情况。结果：两组病例均成功完成手术，无一中途更改手术方式，腹腔镜下子宫次全切除术的术后病率低、术中出血少、肛门排气早、术后镇痛少、离床活动早，术后平均住院时间短，术后恢复日常工作生活时间短。但手术时间较经腹子宫次全切除术延长；术后并发症两组无明显差异。结论：较之经腹子宫次全切除而言，良性病变的子宫腹腔镜下行子宫次全切除术是安全有效的，具有微创、恢复快、副作用小、腹部疤痕小等优点，决定采用何种方式应根据术者的技术水平和患者的需要决定。
목적：탐토량성병변적자궁시행복강경하자궁차전절제술여경복자궁차전절제술량충술식적림상효과。방법：회고성분석정리아원부과2011년6월-2013년9월량성병변적자궁복강경하행자궁차전절제술적30례환자병례자료，동시선취동시기경복차전자궁절제병례34례위대조조，비교량조환자적술중화술후정황。결과：량조병례균성공완성수술，무일중도경개수술방식，복강경하자궁차전절제술적술후병솔저、술중출혈소、항문배기조、술후진통소、리상활동조，술후평균주원시간단，술후회복일상공작생활시간단。단수술시간교경복자궁차전절제술연장；술후병발증량조무명현차이。결론：교지경복자궁차전절제이언，량성병변적자궁복강경하행자궁차전절제술시안전유효적，구유미창、회복쾌、부작용소、복부파흔소등우점，결정채용하충방식응근거술자적기술수평화환자적수요결정。
Objective :To compare the efficacy of laparoscopic subtotal hysterectomy with that of adominal subtotal hysterectomy in benign uterine diseases .Methods :Retrospective analysis laparoscopic subtotal hysterectomy is 30 cases and opensubtotal hysterectomy is 34 cases ,intra-and post-operative conditions ,in our hospital from June 2011 to Sep-tember 2013 .Results:Although the operation were successful for the patients of the two groups ,laparoscopic subtotal hysterectomy was found with fewer postoperative morbidities ,less intraoperative bleeding ,early flatus emission ,rare postoperative analgesics ,early ambulation and short mean hospital stay ,and yet ,LSH required longer time as compared with TAH .No difference Wag found with the complications between the two groups .Conclusion:Treatment of uterus by LSH appears safer and more effective ,with less invasion ,quick recovery ,fewer adverse evidents and scarless abdom-inal wound .Still ,selection of the surgical protocol should be based on the surgeon's skills and decision from the pa-tients .