现代医药卫生
現代醫藥衛生
현대의약위생
Journal of Modern Medicine & Health
2015年
22期
3395-3396
,共2页
子宫切除术%平滑肌瘤%腹腔镜%子宫
子宮切除術%平滑肌瘤%腹腔鏡%子宮
자궁절제술%평활기류%복강경%자궁
Hysterectomy%Leiomyoma%Laparoscopes%Uterus
目的 探讨开腹与腹腔镜子宫次全切除术治疗子宫肌瘤临床疗效差异.方法 选取该院2012年1月至2015年6月收治子宫肌瘤患者130例,分为A组和B组,各65例.A、B组分别采用开腹术式和腹腔子宫次全切除术式治疗.比较两组患者围术期临床指标、伤口甲级愈合率及术后并发症发生率等.结果 两组患者手术时间比较,差异无统计学意义(P>0.05);B组患者术中出血量、尿管留置时间、肛门排气时间、下床活动时间及镇痛药使用率均显著优于A组,差异有统计学意义(P<0.05);B组患者切口甲级愈合率显著高于A组,术后并发症发生率显著低于A组,差异均有统计学意义(P<0.05).结论 相较于开腹术式,腹腔镜子宫次全切除术式治疗子宫肌瘤可以有效地减轻术中创伤,缓解术后疼痛,加快术后康复进程,且有助于降低术后并发症发生率.
目的 探討開腹與腹腔鏡子宮次全切除術治療子宮肌瘤臨床療效差異.方法 選取該院2012年1月至2015年6月收治子宮肌瘤患者130例,分為A組和B組,各65例.A、B組分彆採用開腹術式和腹腔子宮次全切除術式治療.比較兩組患者圍術期臨床指標、傷口甲級愈閤率及術後併髮癥髮生率等.結果 兩組患者手術時間比較,差異無統計學意義(P>0.05);B組患者術中齣血量、尿管留置時間、肛門排氣時間、下床活動時間及鎮痛藥使用率均顯著優于A組,差異有統計學意義(P<0.05);B組患者切口甲級愈閤率顯著高于A組,術後併髮癥髮生率顯著低于A組,差異均有統計學意義(P<0.05).結論 相較于開腹術式,腹腔鏡子宮次全切除術式治療子宮肌瘤可以有效地減輕術中創傷,緩解術後疼痛,加快術後康複進程,且有助于降低術後併髮癥髮生率.
목적 탐토개복여복강경자궁차전절제술치료자궁기류림상료효차이.방법 선취해원2012년1월지2015년6월수치자궁기류환자130례,분위A조화B조,각65례.A、B조분별채용개복술식화복강자궁차전절제술식치료.비교량조환자위술기림상지표、상구갑급유합솔급술후병발증발생솔등.결과 량조환자수술시간비교,차이무통계학의의(P>0.05);B조환자술중출혈량、뇨관류치시간、항문배기시간、하상활동시간급진통약사용솔균현저우우A조,차이유통계학의의(P<0.05);B조환자절구갑급유합솔현저고우A조,술후병발증발생솔현저저우A조,차이균유통계학의의(P<0.05).결론 상교우개복술식,복강경자궁차전절제술식치료자궁기류가이유효지감경술중창상,완해술후동통,가쾌술후강복진정,차유조우강저술후병발증발생솔.
Objective To investigate the clinical effects differences of subtotal hysterectomy between laparotomy opera-tion and laparoscopic operation in the treatment of uterine leiomyoma. Methods 130 patients with uterine leiomyoma in our hos-pital from January 2012 to June 2015 were selected and randomly divided into the group A and B ,65 cases in each group. The group A and B respectively adopted the laparoscopic mode and laparotomy mode for conducting subtotal hysterectomy. The peri-operative clinical indicators,wound healing rate with class A and occurrence rate of postoperative complication were compared be-tween the two groups. Results There was no statistically significant difference in the operation time between 2 groups (P<0.05);the group B was significantly superior to the group A in the aspects of the intraoperative bleeding amount ,indwelling time of uri-nary catheter,anus exhaust time,time of activity for leaving bed, and use rate of analgesic drugs,the differences were statistically significant(P<0.05);the wound healing rate with class A in the group B was significantly higher than that in the A group ,while the occurrence rate of postoperative complications in the group B was significantly lower than that in the group A ,the difference was statistically significant(P<0.05). Conclusion Compared with the laparotomy mode,laparoscopic subtotal hysterectomy in the treatment of uterine leiomyoma can efficiently decrease the intraoperative trauma ,relieve the postoperative pain and conduces to reduce the probability of the postoperative complications occurrence.