中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
9期
108-109
,共2页
全子宫切除术%腹腔镜%剖腹%并发症
全子宮切除術%腹腔鏡%剖腹%併髮癥
전자궁절제술%복강경%부복%병발증
Hysterectomy%Laparoscopy%Laparotomy%Complications
目的：比较分析腹腔镜全子宫切除术与经腹全子宫切除术治疗子宫肌瘤并发症情况，并探讨总结有效的防治方法。方法选择2011年7月—2013年7月在该院进行腹腔镜全子宫切除术的108例子宫肌瘤患者(腹腔镜组)和进行经腹全子宫切除术的92例患者(剖腹组)作为研究对象，观察两组患者手术后并发症发生情况。结果腹腔镜组患者术后出现尿路感染10例(9.26%)，剖腹组9例(9.78%)；阴道残端出血11例(10.19%)，剖腹组9例(9.78%)，P>0.05；腹腔镜组患者术后出现腹部切口愈合不良3例(2.78%)，剖腹组11例(11.96%)，P<0.05。长期随访后发现腹腔镜组患者出现阴道干涩和性欲下降13例(12.04%)，而剖腹组47例(51.09%)，P<0.05。两组患者围绝经期症状差异无统计学意义，腹腔镜组患者出现宫颈残鞘囊肿的比率为27例(25.0%)。结论腹腔镜全子宫切除术治疗子宫肌瘤具有创口小、出血少，患者手术后恢复快、并发症少等特点，是临床上一种效果较好的全子宫切除术，手术医师掌握手术指征，具有娴熟的手术技巧是减少患者出现并发症的关键。
目的：比較分析腹腔鏡全子宮切除術與經腹全子宮切除術治療子宮肌瘤併髮癥情況，併探討總結有效的防治方法。方法選擇2011年7月—2013年7月在該院進行腹腔鏡全子宮切除術的108例子宮肌瘤患者(腹腔鏡組)和進行經腹全子宮切除術的92例患者(剖腹組)作為研究對象，觀察兩組患者手術後併髮癥髮生情況。結果腹腔鏡組患者術後齣現尿路感染10例(9.26%)，剖腹組9例(9.78%)；陰道殘耑齣血11例(10.19%)，剖腹組9例(9.78%)，P>0.05；腹腔鏡組患者術後齣現腹部切口愈閤不良3例(2.78%)，剖腹組11例(11.96%)，P<0.05。長期隨訪後髮現腹腔鏡組患者齣現陰道榦澀和性欲下降13例(12.04%)，而剖腹組47例(51.09%)，P<0.05。兩組患者圍絕經期癥狀差異無統計學意義，腹腔鏡組患者齣現宮頸殘鞘囊腫的比率為27例(25.0%)。結論腹腔鏡全子宮切除術治療子宮肌瘤具有創口小、齣血少，患者手術後恢複快、併髮癥少等特點，是臨床上一種效果較好的全子宮切除術，手術醫師掌握手術指徵，具有嫻熟的手術技巧是減少患者齣現併髮癥的關鍵。
목적：비교분석복강경전자궁절제술여경복전자궁절제술치료자궁기류병발증정황，병탐토총결유효적방치방법。방법선택2011년7월—2013년7월재해원진행복강경전자궁절제술적108례자궁기류환자(복강경조)화진행경복전자궁절제술적92례환자(부복조)작위연구대상，관찰량조환자수술후병발증발생정황。결과복강경조환자술후출현뇨로감염10례(9.26%)，부복조9례(9.78%)；음도잔단출혈11례(10.19%)，부복조9례(9.78%)，P>0.05；복강경조환자술후출현복부절구유합불량3례(2.78%)，부복조11례(11.96%)，P<0.05。장기수방후발현복강경조환자출현음도간삽화성욕하강13례(12.04%)，이부복조47례(51.09%)，P<0.05。량조환자위절경기증상차이무통계학의의，복강경조환자출현궁경잔초낭종적비솔위27례(25.0%)。결론복강경전자궁절제술치료자궁기류구유창구소、출혈소，환자수술후회복쾌、병발증소등특점，시림상상일충효과교호적전자궁절제술，수술의사장악수술지정，구유한숙적수술기교시감소환자출현병발증적관건。
Objective To compare the laparoscopic hysterectomy and transabdominal hysterectomy complications, and to explore effective prevention method summary.Method select 2011 July -2013 year in July to 108 cases of laparoscopic hysterectomy patients in our hospital (laparoscopic group) and 92 cases by abdominal hysterectomy patients (laparotomy group) as the research object, the two groups were observed after operation complications.Results the patients in the laparoscopic group postoperative urinary tract infection in 10 cases (9.26%), 9 cases of cesarean section group (9.78%); 11 cases of vaginal stump hemorrhage (10.19%), 9 cases of cesarean section group (9.78%),P<0.05; abdominal incision healing of 3 cases of laparoscopic group patients (2.78%), cesarean section 11 cases of group (11.96%),P<0.05. Long term follow-up found that patients in the laparoscopic group of vaginal dryness and decreased libido in 13 cases (12.04%), while the profile service group 47 cases (51.09%),P < 0.05. No significant difference between the two groups of patients with perimenopausal symptoms, the ratio of patients in the laparoscopic group appear cervical remnant sheath cyst in 27 cases (25%).Conclusion laparoscopic hysterectomy is a better clinical effect of hysterectomy, surgeon to master surgical indications, surgical techniques have skilled is the key to reduce complications.
