国际生殖健康/计划生育杂志
國際生殖健康/計劃生育雜誌
국제생식건강/계화생육잡지
JOURNLA OF INTERNATIONAL REPRODUCTIVE HEALTH/FAMILY PLANNING
2015年
5期
382-384
,共3页
潘晓华%凌静%谭洁%张晨霞
潘曉華%凌靜%譚潔%張晨霞
반효화%릉정%담길%장신하
腹腔镜%腹腔镜检查%子宫切除术%黏连%妇科外科手术
腹腔鏡%腹腔鏡檢查%子宮切除術%黏連%婦科外科手術
복강경%복강경검사%자궁절제술%점련%부과외과수술
Laparoscopes%Laparoscopy%Hysterectomy%Adhesions%Gynecologic surgical procedures
目的：探讨腹腔镜下困难性子宫切除的可行性及临床效果。方法：回顾性分析2012年5月—2014年5月在江阴市人民医院妇科行腹腔镜下困难性子宫切除的86例患者（观察组）的临床资料，同期行腹腔镜下普通子宫切除的86例患者的临床资料作为对照（对照组），比较2组的手术时间、术中出血量、中转开腹率、副损伤发生率、术后病率、肛门排气时间、住院时间以及术后患者满意率。结果：观察组的手术时间和术中出血量均高于对照组，差异有统计学意义[分别为（154.60±44.67）min vs.（89.13±13.79）min和（210.47±138.93）mL vs.（70.93±43.57）mL，均P＜0.05]；2组中转开腹率、副损伤发生率、肛门排气时间、住院时间、术后病率及术后患者满意率比较，差异无统计学意义（均P＞0.05）。结论：与腹腔镜下普通子宫切除相比，腹腔镜下进行困难性子宫切除，未增加手术风险及并发症，且具有创伤小、恢复快等优点，是进行困难性子宫切除的理想手术方法。
目的：探討腹腔鏡下睏難性子宮切除的可行性及臨床效果。方法：迴顧性分析2012年5月—2014年5月在江陰市人民醫院婦科行腹腔鏡下睏難性子宮切除的86例患者（觀察組）的臨床資料，同期行腹腔鏡下普通子宮切除的86例患者的臨床資料作為對照（對照組），比較2組的手術時間、術中齣血量、中轉開腹率、副損傷髮生率、術後病率、肛門排氣時間、住院時間以及術後患者滿意率。結果：觀察組的手術時間和術中齣血量均高于對照組，差異有統計學意義[分彆為（154.60±44.67）min vs.（89.13±13.79）min和（210.47±138.93）mL vs.（70.93±43.57）mL，均P＜0.05]；2組中轉開腹率、副損傷髮生率、肛門排氣時間、住院時間、術後病率及術後患者滿意率比較，差異無統計學意義（均P＞0.05）。結論：與腹腔鏡下普通子宮切除相比，腹腔鏡下進行睏難性子宮切除，未增加手術風險及併髮癥，且具有創傷小、恢複快等優點，是進行睏難性子宮切除的理想手術方法。
목적：탐토복강경하곤난성자궁절제적가행성급림상효과。방법：회고성분석2012년5월—2014년5월재강음시인민의원부과행복강경하곤난성자궁절제적86례환자（관찰조）적림상자료，동기행복강경하보통자궁절제적86례환자적림상자료작위대조（대조조），비교2조적수술시간、술중출혈량、중전개복솔、부손상발생솔、술후병솔、항문배기시간、주원시간이급술후환자만의솔。결과：관찰조적수술시간화술중출혈량균고우대조조，차이유통계학의의[분별위（154.60±44.67）min vs.（89.13±13.79）min화（210.47±138.93）mL vs.（70.93±43.57）mL，균P＜0.05]；2조중전개복솔、부손상발생솔、항문배기시간、주원시간、술후병솔급술후환자만의솔비교，차이무통계학의의（균P＞0.05）。결론：여복강경하보통자궁절제상비，복강경하진행곤난성자궁절제，미증가수술풍험급병발증，차구유창상소、회복쾌등우점，시진행곤난성자궁절제적이상수술방법。
Objective:To explore the feasibility and clinical effect of the application of laparoscopy in the complicated hysterectomy. Methods:This is a retrospective analysis on 86 cases with the complicated laparoscopic hysterectomy (the observation group) performed from May 2012 to May 2014 in our hospital. 86 patients with usual laparoscopic hysterectomy were assigned as the control group. The operation time, intraoperative blood loss, incidence of transfer laparotomy, vice injury, rate of postoperative diseases, anal exhaust time, average days of hospital stay, and postoperative patient satisfaction, were compared between the two groups. Results:The operation time and bleeding amount during operation in the observation group were significantly higher than those in the control group [(154.60±44.67) min vs. (89.13±13.79) min; (210.47±138.93) mL vs. (70.93±43.57) mL, both P<0.05]. There were not significant differences in the transfer laparotomy rate, vice injury incidence, anus exhaust time, hospital stay, postoperative disease rate and postoperative satisfaction between the two groups (all P>0.05). Conclusions:Compared with laproscopic hysterectomy, the complicated hysterectomy under laparoscopy does not increase the risk of operation and complications,with the advantages of small trauma and faster recovery.
