中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
5期
36-37
,共2页
腹腔镜全子宫切除术%开腹全子宫切除术%大子宫
腹腔鏡全子宮切除術%開腹全子宮切除術%大子宮
복강경전자궁절제술%개복전자궁절제술%대자궁
Laparoscopic total hysterectomy%Total abdominal hysterectomy%Large uterus
目的 比较腹腔镜子宫切除术(LTH)和经腹全子宫切除术(TAH)治疗大子宫的临床疗效,探讨大子宫行腹腔镜下全子宫切除的可行性.方法 以厦门市第二医院妇产科2008年1月至2011年12月因子宫良性疾病(子宫体积＞孕12周)而行子宫全切术的患者100例为治疗组,以同期收治的子宫良性疾病(子宫体积＞孕12周)而行子宫全切术的患者100例为对照组.治疗组给予腹腔镜全子宫切除术,对照组给予开腹全子宫切除术,比较两组临床疗效.结果 治疗组手术时间、术中出血量、术后排气时间及术后住院时间较对照组少,差异有统计学意义.两组术后并发症发生率比较差异无统计学意义.结论 对子宫良性疾病导致的大子宫患者,行腹腔镜全子宫切除术,只要严格掌握适应证,术中认清解剖,提高手术技巧,合理应用手术器械,能有效防止并发症的发生,可取得满意的临床疗效.
目的 比較腹腔鏡子宮切除術(LTH)和經腹全子宮切除術(TAH)治療大子宮的臨床療效,探討大子宮行腹腔鏡下全子宮切除的可行性.方法 以廈門市第二醫院婦產科2008年1月至2011年12月因子宮良性疾病(子宮體積＞孕12週)而行子宮全切術的患者100例為治療組,以同期收治的子宮良性疾病(子宮體積＞孕12週)而行子宮全切術的患者100例為對照組.治療組給予腹腔鏡全子宮切除術,對照組給予開腹全子宮切除術,比較兩組臨床療效.結果 治療組手術時間、術中齣血量、術後排氣時間及術後住院時間較對照組少,差異有統計學意義.兩組術後併髮癥髮生率比較差異無統計學意義.結論 對子宮良性疾病導緻的大子宮患者,行腹腔鏡全子宮切除術,隻要嚴格掌握適應證,術中認清解剖,提高手術技巧,閤理應用手術器械,能有效防止併髮癥的髮生,可取得滿意的臨床療效.
목적 비교복강경자궁절제술(LTH)화경복전자궁절제술(TAH)치료대자궁적림상료효,탐토대자궁행복강경하전자궁절제적가행성.방법 이하문시제이의원부산과2008년1월지2011년12월인자궁량성질병(자궁체적＞잉12주)이행자궁전절술적환자100례위치료조,이동기수치적자궁량성질병(자궁체적＞잉12주)이행자궁전절술적환자100례위대조조.치료조급여복강경전자궁절제술,대조조급여개복전자궁절제술,비교량조림상료효.결과 치료조수술시간、술중출혈량、술후배기시간급술후주원시간교대조조소,차이유통계학의의.량조술후병발증발생솔비교차이무통계학의의.결론 대자궁량성질병도치적대자궁환자,행복강경전자궁절제술,지요엄격장악괄응증,술중인청해부,제고수술기교,합리응용수술기계,능유효방지병발증적발생,가취득만의적림상료효.
Objective To compare the clinical effects of laparoscopic total hysterectomy (LTH) and total abdominal hysterectomy(TAH) on large uterus,and investigate the feasibility of LTH for large uterus.Methods One hundred cases of uterus benign disease(the volume of uterus was larger than 12 weeks of pregnancy) underwent hysterectomy were the treatment group from January 2008 to December 2011.One hundred cases of the same disease were enrolled in the control group.Patients in treatment group were given LTH,and patients in control group were given TAH.The clinical effects were compared between the two groups.Results The operative time,intraoperative blood volume,anal exhausting time and postopererative hospital stay in the treatment group was shorter than those in the control group.There were significant differences.There was no singificant difference in the incidence of postoperative complications between the two groups.Conclusions For large uterus caused by uterus benign disease,by gasping the strict indications,making clear the anatomy during operation,improving the operation skills and rational use of surgical instuments,the occurrence of complications can be effectively prevented,and the satisfactory clinical effect can be acquired by LTH.
