中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
15期
68-70
,共3页
腹腔镜子宫切除术%开腹子宫切除术%卵巢功能
腹腔鏡子宮切除術%開腹子宮切除術%卵巢功能
복강경자궁절제술%개복자궁절제술%란소공능
Laparoscopic hysterectomy surgery%Open hysterectomy surgery%Ovarian function
目的：比较腹腔镜与开腹子宫切除术的临床疗效及对卵巢功能的影响。方法选择2011年5月至2013年12月濮阳市妇幼保健院收治的58例行子宫切除术的患者，随机分为腹腔镜组和开腹组各29例，观察比较两组的手术时间、术中出血量、术后肛门排气时间、住院时间，并分别于术前、术后3个月测定血清中FSH（卵泡刺激素）、LH（黄体生成素）、E2（雌二醇）以及P（孕酮）的变化情况，评估手术卵巢功能的影响。结果腹腔镜组手术时间（75.5±8.2）min、术中出血量（145.2±23.1）ml、排气时间（22.3±5.6）h、住院时间（7.2±1.6）d均明显低于开腹组，差异有统计学意义（P<0.05）；腹腔镜组与开腹组术后3个月FSH、LH明显高于术前，而E2以及P水平明显低于术前，且手术前后相比差异有统计学意义（P<0.05）；两组不良率差异未见统计学意义（P>0.05）。结论腹腔镜子宫切除术手术的临床效果优于开腹子宫切除术手术，对卵巢功能的影响也小。
目的：比較腹腔鏡與開腹子宮切除術的臨床療效及對卵巢功能的影響。方法選擇2011年5月至2013年12月濮暘市婦幼保健院收治的58例行子宮切除術的患者，隨機分為腹腔鏡組和開腹組各29例，觀察比較兩組的手術時間、術中齣血量、術後肛門排氣時間、住院時間，併分彆于術前、術後3箇月測定血清中FSH（卵泡刺激素）、LH（黃體生成素）、E2（雌二醇）以及P（孕酮）的變化情況，評估手術卵巢功能的影響。結果腹腔鏡組手術時間（75.5±8.2）min、術中齣血量（145.2±23.1）ml、排氣時間（22.3±5.6）h、住院時間（7.2±1.6）d均明顯低于開腹組，差異有統計學意義（P<0.05）；腹腔鏡組與開腹組術後3箇月FSH、LH明顯高于術前，而E2以及P水平明顯低于術前，且手術前後相比差異有統計學意義（P<0.05）；兩組不良率差異未見統計學意義（P>0.05）。結論腹腔鏡子宮切除術手術的臨床效果優于開腹子宮切除術手術，對卵巢功能的影響也小。
목적：비교복강경여개복자궁절제술적림상료효급대란소공능적영향。방법선택2011년5월지2013년12월복양시부유보건원수치적58례행자궁절제술적환자，수궤분위복강경조화개복조각29례，관찰비교량조적수술시간、술중출혈량、술후항문배기시간、주원시간，병분별우술전、술후3개월측정혈청중FSH（란포자격소）、LH（황체생성소）、E2（자이순）이급P（잉동）적변화정황，평고수술란소공능적영향。결과복강경조수술시간（75.5±8.2）min、술중출혈량（145.2±23.1）ml、배기시간（22.3±5.6）h、주원시간（7.2±1.6）d균명현저우개복조，차이유통계학의의（P<0.05）；복강경조여개복조술후3개월FSH、LH명현고우술전，이E2이급P수평명현저우술전，차수술전후상비차이유통계학의의（P<0.05）；량조불량솔차이미견통계학의의（P>0.05）。결론복강경자궁절제술수술적림상효과우우개복자궁절제술수술，대란소공능적영향야소。
Objective To compare the clinical efficacy of laparoscopic and open hysterectomy and observe the effects on the ovarian function. Methods Fifty-eight patients with hysterectomy from May 2011 to December 2013 were randomly divided into laparoscopy group and open surgery group,with 29 cases in each group. The operation time,intraop-erative blood loss,and length of hospital stay of two groups were analyzed. In preoperative and postoperative for 3 months, the determination of serum FSH,LH,E2 and P and was observed,and the effect of surgery of ovarian function was evalua-ted. Results The operation time was(75. 5 ± 8. 2)min,intraoperative blood loss was(145. 2 ± 23. 1)ml,postoperative anal exhaust time was(22. 3 ± 5. 6)h,length of hospital stay was(7. 2 ± 1. 6)d in laparoscopy group,which were signifi-cantly lower than those of open surgery group( P<0. 05 ). After three months,FSH,LH levels of laparoscopy group and open surgery group were obviously higher than preoperative,and E2 and P levels were significantly lower than preoperative, the differences before and after surgery were statistically significant(P<0. 05);there was significant difference in defective rate between the two groups( P >0. 05 ). Conclusions The clinical effect of laparoscopic hysterectomy surgery is superior to open surgery with small influence on o-varian function.
