中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
17期
88-90
,共3页
子宫肌瘤%腹腔镜手术%阴式子宫肌瘤剔除术%并发症
子宮肌瘤%腹腔鏡手術%陰式子宮肌瘤剔除術%併髮癥
자궁기류%복강경수술%음식자궁기류척제술%병발증
Uterine fibroids%Laparoscopic surgery%Vaginal myomectomy%Complications
目的 观察腹腔镜辅助下三种手术方式治疗子宫肌瘤的疗效.方法 选取子宫肌瘤患者100例作为研究对象,分别行腹腔镜辅助下阴式子宫肌瘤剔除术(LATM)、阴式子宫切除术(LAVH)、阴式子宫次全切除术(LAVSH),根据手术类型将患者分为LATM组(35例)、LAVH组(30例)、LAVSH组(35例),观察三组手术时间、术中出血量、排气时间、住院治疗时间,并记录术后并发症发生率.结果 LATM组手术时间、术中出血量、排气时间以及住院治疗时间分别为(57.26±10.11) min、(60.39±11.68) ml、(1.20±0.43)d、(4.98±1.63)d,均低于LAVH组、LAVSH组,其中LAVH组最高,差异有统计学意义(P＜0.05).LATM组与LAVSH组并发症发生率分别为2.86％、11.43％,差异未见统计学意义(P＞0.05),但两组术后并发症发生率均低于LAVH组(33.33％),差异有统计学意义(P＜0.05).结论 三种腹腔镜辅助下手术均可用于子宫肌瘤的治疗中,但腹腔镜辅助下LATM手术可减少术中创伤,降低并发症发生率.
目的 觀察腹腔鏡輔助下三種手術方式治療子宮肌瘤的療效.方法 選取子宮肌瘤患者100例作為研究對象,分彆行腹腔鏡輔助下陰式子宮肌瘤剔除術(LATM)、陰式子宮切除術(LAVH)、陰式子宮次全切除術(LAVSH),根據手術類型將患者分為LATM組(35例)、LAVH組(30例)、LAVSH組(35例),觀察三組手術時間、術中齣血量、排氣時間、住院治療時間,併記錄術後併髮癥髮生率.結果 LATM組手術時間、術中齣血量、排氣時間以及住院治療時間分彆為(57.26±10.11) min、(60.39±11.68) ml、(1.20±0.43)d、(4.98±1.63)d,均低于LAVH組、LAVSH組,其中LAVH組最高,差異有統計學意義(P＜0.05).LATM組與LAVSH組併髮癥髮生率分彆為2.86％、11.43％,差異未見統計學意義(P＞0.05),但兩組術後併髮癥髮生率均低于LAVH組(33.33％),差異有統計學意義(P＜0.05).結論 三種腹腔鏡輔助下手術均可用于子宮肌瘤的治療中,但腹腔鏡輔助下LATM手術可減少術中創傷,降低併髮癥髮生率.
목적 관찰복강경보조하삼충수술방식치료자궁기류적료효.방법 선취자궁기류환자100례작위연구대상,분별행복강경보조하음식자궁기류척제술(LATM)、음식자궁절제술(LAVH)、음식자궁차전절제술(LAVSH),근거수술류형장환자분위LATM조(35례)、LAVH조(30례)、LAVSH조(35례),관찰삼조수술시간、술중출혈량、배기시간、주원치료시간,병기록술후병발증발생솔.결과 LATM조수술시간、술중출혈량、배기시간이급주원치료시간분별위(57.26±10.11) min、(60.39±11.68) ml、(1.20±0.43)d、(4.98±1.63)d,균저우LAVH조、LAVSH조,기중LAVH조최고,차이유통계학의의(P＜0.05).LATM조여LAVSH조병발증발생솔분별위2.86％、11.43％,차이미견통계학의의(P＞0.05),단량조술후병발증발생솔균저우LAVH조(33.33％),차이유통계학의의(P＜0.05).결론 삼충복강경보조하수술균가용우자궁기류적치료중,단복강경보조하LATM수술가감소술중창상,강저병발증발생솔.
Objective To observe the curative effects of three kinds of operation mode under laparoscope on uterine fibroids.Methods One hundred uterine fibroids patients were selected as research objects,underwent laparoscopic assisted vaginal myomectomy (LATM) and vaginal hysterectomy (LAVH),transvaginal subtotal hysterectomy (LAVSH),according to the type of surgery,patients were divided into LATM group (35 cases),LAVH group (30 cases) and LAVSH group (35 cases).The operative time,bleeding volume,exhaust time,hospitalization time were observed,and the incidence of postoperative complications were recorded.Results In LATM group,the operative time,bleeding amount,exhaust time and hospitalization time were (57.26 ± 10.11) min,(60.39 ± 11.68) ml,(1.20 ±0.43) d,(4.98 ± 1.63) d,which were lower than that in LAVH group,LAVSH group,the LAVH group was the highest,the differences were significant (P ＜ 0.05).The incidence of complications of LATM group and LAVSH group were 2.86％ and 11.43％,there was no significant difference (P ＞ 0.05).But the incidence of postoperative complications of two groups was lower than that in LAVH group (33.33％),the differences were significant (P ＜ 0.05).Conclusions The three laparoscopic assisted surgery can be used as treatment of uterine fibroids,but laparoscopic LATM surgery can reduce the surgical trauma and reduce the incidence of complications.
