CAJ | 학술논문

目的：分析经腹(I组)、阴道(Ⅱ组)和腹腔镜辅助阴式子宫切除术(Ⅲ组)手术效果,为临床应用提供科学依据。方法2010年1月~2013年12月收治的150例子宫切除患者自愿选择手术方式,59例患者自愿选择经腹子宫全切除术(I组),25例患者自愿选择阴式子宫切除术(Ⅱ组),66例患者自愿选择腹腔镜辅助阴式子宫切除术(Ⅲ组),比较不同手术方法的临床效果。结果手术时间I、Ⅱ组和Ⅱ、Ⅲ组比较均无差异(P>0.05),I、Ⅲ组比较有差异(P<0.01)；术中出血量I、Ⅱ组比较与I、Ⅲ组比较均有差异(P<0.05),Ⅱ、Ⅲ组比较无差异(P>0.05)；术后发热率Ⅱ组明显高于I、Ⅲ组(P<0.001)；术后排气时间均无差异(均P>0.05),住院天数比较有差异(P<0.01)。结论 LAVH为微创手术,视患者病情及经济承受能力选择合适的手术方式,当子宫增大不超过12孕周时,采用腹腔镜下全子宫切除术成功率为100%。
목적：분석경복(I조)、음도(Ⅱ조)화복강경보조음식자궁절제술(Ⅲ조)수술효과,위림상응용제공과학의거。방법2010년1월~2013년12월수치적150례자궁절제환자자원선택수술방식,59례환자자원선택경복자궁전절제술(I조),25례환자자원선택음식자궁절제술(Ⅱ조),66례환자자원선택복강경보조음식자궁절제술(Ⅲ조),비교불동수술방법적림상효과。결과수술시간I、Ⅱ조화Ⅱ、Ⅲ조비교균무차이(P>0.05),I、Ⅲ조비교유차이(P<0.01)；술중출혈량I、Ⅱ조비교여I、Ⅲ조비교균유차이(P<0.05),Ⅱ、Ⅲ조비교무차이(P>0.05)；술후발열솔Ⅱ조명현고우I、Ⅲ조(P<0.001)；술후배기시간균무차이(균P>0.05),주원천수비교유차이(P<0.01)。결론 LAVH위미창수술,시환자병정급경제승수능력선택합괄적수술방식,당자궁증대불초과12잉주시,채용복강경하전자궁절제술성공솔위100%。
Objective To analysis transabdominal abdominal (Ⅰgroup)、vaginal (Ⅱgroup) and laparoscopic assisted vaginal hysterectomy (Ⅲgroup) ef ect, as to as provide scientific basis for clinical application. Methods To retrospective analysis of clinical information of hysterectomy patients for 150 cases, compared clinical ef ect. Results The operation timeⅠ、Ⅱgroup andⅡ、Ⅲgroup compared al no dif erent( >0.05).Ⅰ,Ⅲgroup compared had dif erent( <0.01);intraoperative bleedingⅠ、Ⅱgroup andⅠ、Ⅲgroup compared had dif erent( <0.05),Ⅱ、Ⅲ group compared no dif erent( >0.05; the rate of postoperative feverⅡgroup significantly higherⅠ、Ⅲ group( <0.001);postoperative exhaust time al no dif erent( >0.05),The length of hospital stay compared al had dif erent( <0.01). Conclusion LAVH is minimal y operation, according to il ness and patients economic status choose suitable surgical approach, when the uterus is not more than 12 weeks of gestation, choose laparoscopic assisted hysterectomy rate be success 100%.