中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
23期
128-129
,共2页
腹腔镜下宫颈悬吊术%绝经后子宫脱垂%全子宫切除术
腹腔鏡下宮頸懸弔術%絕經後子宮脫垂%全子宮切除術
복강경하궁경현조술%절경후자궁탈수%전자궁절제술
Laparoscopic cervical suspension%Postmenopausal uterine prolapse%Panhysterectomy
目的 比较腹腔镜下宫颈悬吊术与传统的阴式全子宫切除术治疗绝经后子宫脱垂的疗效.方法 绝经后子宫脱垂患者69例随机分为两组,对照组采用传统的阴式全子宫切除术,观察组行腹腔镜下宫颈悬吊术.结果 两组均顺利完成手术.观察组手术时间、术中出血量、留置尿管时间、术后住院时间均少于对照组,P<0.05,差异具有统计学意义;两组术后肛门排气时间对比,P>0.05,差异不具有统计学意义;术后随访2年,观察组憋尿时间长于对照组,而腹部下坠感、阴道穹窿膨出等发生率均低于对照组,P<0.05,差异具有统计学意义.结论 腹腔镜下宫颈悬吊术治疗绝经后妇女子宫脱垂具有创伤小、疗效好、术后恢复快、复发率低等优点.
目的 比較腹腔鏡下宮頸懸弔術與傳統的陰式全子宮切除術治療絕經後子宮脫垂的療效.方法 絕經後子宮脫垂患者69例隨機分為兩組,對照組採用傳統的陰式全子宮切除術,觀察組行腹腔鏡下宮頸懸弔術.結果 兩組均順利完成手術.觀察組手術時間、術中齣血量、留置尿管時間、術後住院時間均少于對照組,P<0.05,差異具有統計學意義;兩組術後肛門排氣時間對比,P>0.05,差異不具有統計學意義;術後隨訪2年,觀察組憋尿時間長于對照組,而腹部下墜感、陰道穹窿膨齣等髮生率均低于對照組,P<0.05,差異具有統計學意義.結論 腹腔鏡下宮頸懸弔術治療絕經後婦女子宮脫垂具有創傷小、療效好、術後恢複快、複髮率低等優點.
목적 비교복강경하궁경현조술여전통적음식전자궁절제술치료절경후자궁탈수적료효.방법 절경후자궁탈수환자69례수궤분위량조,대조조채용전통적음식전자궁절제술,관찰조행복강경하궁경현조술.결과 량조균순리완성수술.관찰조수술시간、술중출혈량、류치뇨관시간、술후주원시간균소우대조조,P<0.05,차이구유통계학의의;량조술후항문배기시간대비,P>0.05,차이불구유통계학의의;술후수방2년,관찰조별뇨시간장우대조조,이복부하추감、음도궁륭팽출등발생솔균저우대조조,P<0.05,차이구유통계학의의.결론 복강경하궁경현조술치료절경후부녀자궁탈수구유창상소、료효호、술후회복쾌、복발솔저등우점.
Objective To compare the effect of laparoscopic cervical suspension surgery at the top of vagina and traditional transvaginal hysterectomy.Methods Selected 69 patients with uterine prolapse were divided into two groups randomly. The control group was treated with traditional transvaginal hysterectomy, and the observation group with laparoscopic cervical suspension.Results The operation time, intraoperative blood loss, placing a urinary catheter time and postoperative hospitalization time were less than the control group,P<0.05, had difference statistically significance, The differences of time of postoperative anal exhaust time between two groups,P>0.05, had no difference statistically signiifcance, By follow-up for 2 years, the time of a full bladder of observation group was longer than the control group, and the rates of abdominal straining feeling and bulging vaginal fornix were lower than the control group,P<0.05, had difference statistically significance.Conclusion Laparoscopic cervical suspension is less trauma, good curative effects, fast recovery, and low recurrence rate.
