中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
57-58
,共2页
腹腔镜%子宫肌瘤%宫颈病变%全子宫切除术
腹腔鏡%子宮肌瘤%宮頸病變%全子宮切除術
복강경%자궁기류%궁경병변%전자궁절제술
Laparoscope%Uterine fibroid%Cervical lesions%Panhysterectomy
目的：总结近半年全子宫切除术的临床资料，探讨全子宫切除术的可行性及临床应用价值。方法：2014年1-6月收治全子宫切除术患者86例，回顾性分析其临床资料。结果：86例手术患者平均年龄(48.18±5.96)岁，平均住院天数(8.54±2.09)d，平均住院费用(14131.64±1635.69)元，其中治愈率85.9%，好转率12.8%，甲级伤口愈合97.4%，乙级伤口愈合1.8%。其前5位疾病依次为子宫肌瘤(55.77%)，宫颈病变[高度宫颈上皮内瘤变(CINⅢ)和原位癌(CIS)](19.23%)，子宫腺肌症(13.46%)，卵巢良性肿瘤(7.69%)，子宫内膜病变[子宫内膜中-重度不典型增生(EIN)和子宫内膜癌Ⅰ期](7.69%)。结论：妇科疾病手术治疗理念及技术不断改进，微创治疗技术比例增加，手术适应证与经腹子宫切除术趋于一致，宫颈病变和子宫内膜病变在全子宫切除术中多通过腹腔镜完成。
目的：總結近半年全子宮切除術的臨床資料，探討全子宮切除術的可行性及臨床應用價值。方法：2014年1-6月收治全子宮切除術患者86例，迴顧性分析其臨床資料。結果：86例手術患者平均年齡(48.18±5.96)歲，平均住院天數(8.54±2.09)d，平均住院費用(14131.64±1635.69)元，其中治愈率85.9%，好轉率12.8%，甲級傷口愈閤97.4%，乙級傷口愈閤1.8%。其前5位疾病依次為子宮肌瘤(55.77%)，宮頸病變[高度宮頸上皮內瘤變(CINⅢ)和原位癌(CIS)](19.23%)，子宮腺肌癥(13.46%)，卵巢良性腫瘤(7.69%)，子宮內膜病變[子宮內膜中-重度不典型增生(EIN)和子宮內膜癌Ⅰ期](7.69%)。結論：婦科疾病手術治療理唸及技術不斷改進，微創治療技術比例增加，手術適應證與經腹子宮切除術趨于一緻，宮頸病變和子宮內膜病變在全子宮切除術中多通過腹腔鏡完成。
목적：총결근반년전자궁절제술적림상자료，탐토전자궁절제술적가행성급림상응용개치。방법：2014년1-6월수치전자궁절제술환자86례，회고성분석기림상자료。결과：86례수술환자평균년령(48.18±5.96)세，평균주원천수(8.54±2.09)d，평균주원비용(14131.64±1635.69)원，기중치유솔85.9%，호전솔12.8%，갑급상구유합97.4%，을급상구유합1.8%。기전5위질병의차위자궁기류(55.77%)，궁경병변[고도궁경상피내류변(CINⅢ)화원위암(CIS)](19.23%)，자궁선기증(13.46%)，란소량성종류(7.69%)，자궁내막병변[자궁내막중-중도불전형증생(EIN)화자궁내막암Ⅰ기](7.69%)。결론：부과질병수술치료이념급기술불단개진，미창치료기술비례증가，수술괄응증여경복자궁절제술추우일치，궁경병변화자궁내막병변재전자궁절제술중다통과복강경완성。
Objective:To summarize the clinical data of panhysterectomy in nearly half a year,to investigate the feasibility and clinical application value of panhysterectomy.Methods:86 patients with panhysterectomy were selected from January to June 2014. The clinical data were retrospectively analyzed.Results:The average age of 86 surgical patients was (48.18±5.96)years old;the average hospitalization day was (8.54±2.09)days;the average hospitalization expenses was (14 131.64±1 635.69)yuan.The cure rate was 85.9%;the improvement rate was 12.8%.A grade wound healing was 97.4%;B grade wound healing was 1.8%.The top five diseases in the order were uterine fibroid(55.77% ),cervical lesions [high grade squamous intraepithelial lesion(CIN Ⅲ) and preinvasive carcinoma(CIS)] (19.23% ),adenomyosis(13.46% ),benign ovarian tumor(7.69% ),endometrial lesion [endometrium moderate-severe atypical hyperplasia(EIN) and endometrial cancer stage Ⅰ](7.69%).Conclusion:Operative treatment concept and technology of gynecological disease continuously improve,the proportion of minimally invasive treatment technology increase, operation indications and transabdominal hysterectomy tend to be consistent,many cervical and endometrial lesions in panhysterectomy are completed by laparoscope.
