中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
6期
880-883
,共4页
张唯一%李立安%游艳琴%胡凌云%李亚里
張唯一%李立安%遊豔琴%鬍凌雲%李亞裏
장유일%리립안%유염금%호릉운%리아리
子宫内膜异位症%腹腔镜子宫切除术%阴式子宫切除术%术式选择
子宮內膜異位癥%腹腔鏡子宮切除術%陰式子宮切除術%術式選擇
자궁내막이위증%복강경자궁절제술%음식자궁절제술%술식선택
Endometriosis%Laparoscopic hysterectomy%Transvaginal hysterectomy%Determination of the route of hysterectomy
目的 比较腹腔镜子宫切除术(LH)、阴式子宫切除术(TVH)与经腹子宫切除术(AH)治疗子宫内膜异位症的临床效果.方法 回顾性分析2008年10月至2013年10月于解放军总医院诊断为子宫内膜异位症并行全子宫切除术治疗的232例患者临床资料.其中94例行LH(LH组),85例行TVH(TVH组),53例行AH(AH组).对3组的术前一般情况、临床表现、手术结局及术后并发症等进行比较.结果 LH、TVH与AH组手术时间分别为(160 ±43)、(116±30)和(213 ± 31) min,出血量分别为(295 ±203)、(112 ±87)及(856 ± 529) ml,组间两两比较差异均有统计学意义(P＜0.05);术后住院时间分别为(6.2 ±2.0)、(7.1 ±4.6)及(9.4 ±3.3)d,AH组分别与LH组及TVH组组间比较差异有统计学意义(P＜0.05);术后发热发生率、脏器损伤率差异无统计学意义(P＞0.05).结论 TVH具有创伤小、住院时间短等优点,在术者经验丰富、充分掌握手术技巧的前提下,对于盆腔粘连严重的子宫内膜异位症患者来说可能是最好的选择.
目的 比較腹腔鏡子宮切除術(LH)、陰式子宮切除術(TVH)與經腹子宮切除術(AH)治療子宮內膜異位癥的臨床效果.方法 迴顧性分析2008年10月至2013年10月于解放軍總醫院診斷為子宮內膜異位癥併行全子宮切除術治療的232例患者臨床資料.其中94例行LH(LH組),85例行TVH(TVH組),53例行AH(AH組).對3組的術前一般情況、臨床錶現、手術結跼及術後併髮癥等進行比較.結果 LH、TVH與AH組手術時間分彆為(160 ±43)、(116±30)和(213 ± 31) min,齣血量分彆為(295 ±203)、(112 ±87)及(856 ± 529) ml,組間兩兩比較差異均有統計學意義(P＜0.05);術後住院時間分彆為(6.2 ±2.0)、(7.1 ±4.6)及(9.4 ±3.3)d,AH組分彆與LH組及TVH組組間比較差異有統計學意義(P＜0.05);術後髮熱髮生率、髒器損傷率差異無統計學意義(P＞0.05).結論 TVH具有創傷小、住院時間短等優點,在術者經驗豐富、充分掌握手術技巧的前提下,對于盆腔粘連嚴重的子宮內膜異位癥患者來說可能是最好的選擇.
목적 비교복강경자궁절제술(LH)、음식자궁절제술(TVH)여경복자궁절제술(AH)치료자궁내막이위증적림상효과.방법 회고성분석2008년10월지2013년10월우해방군총의원진단위자궁내막이위증병행전자궁절제술치료적232례환자림상자료.기중94례행LH(LH조),85례행TVH(TVH조),53례행AH(AH조).대3조적술전일반정황、림상표현、수술결국급술후병발증등진행비교.결과 LH、TVH여AH조수술시간분별위(160 ±43)、(116±30)화(213 ± 31) min,출혈량분별위(295 ±203)、(112 ±87)급(856 ± 529) ml,조간량량비교차이균유통계학의의(P＜0.05);술후주원시간분별위(6.2 ±2.0)、(7.1 ±4.6)급(9.4 ±3.3)d,AH조분별여LH조급TVH조조간비교차이유통계학의의(P＜0.05);술후발열발생솔、장기손상솔차이무통계학의의(P＞0.05).결론 TVH구유창상소、주원시간단등우점,재술자경험봉부、충분장악수술기교적전제하,대우분강점련엄중적자궁내막이위증환자래설가능시최호적선택.
Objective To compare the clinical effect of laparoseopic hysterectomy(LH),transvaginal hysterectomy(TVH) and abdominal hysterectomy(AH) on endometriosis.Methods A retrospective study included 256 women recruited from the general hospital of People's Liberation Army from October 2008 to October 2013.They were divided into three groups:94 with LH,85 with TVH and 53 with AH.General Information,Clinical manifestations,surgical outcomes and postoperative complications were analyzed and compared among the three treatment groups.Results Operative time was significantly longer in group AH than in group TVH and group LH,(213 ± 31),(116 ± 30) and (160 ± 43) minutes,respectively (P ＜ 0.05) ; estimated volume of blood loss was (856 ± 529),(112 ± 87) and (295 ± 203) ml,respectively (P ＜ 0.05) ; postoperative hospital stay was (9.4 ± 3.3),(7.1 ± 4.6) and (6.2 ± 2.0) d (P ＜ 0.05) ; there was no significance of complication rates (P ＞0.05).Conclusions With the surgical procedure of TVH,patients will probably have the least trauma and the shortest in-hospital period.With preconditions for surgeons such as experienced surgeons and skilled operative techniques,TVH will be the best choice for endometriosis patients with severe pelvic adhesions.
