子宫全切术不缝合盆腔腹膜对术后并发症的影响

The effect of postoperative course in noclosure peritonealize at abdominal hysterectomy

目的观察子宫全切术不缝合盆腔腹膜与缝合盆腔腹膜术后并发症有无差异。方法选择子宫全切术缝合盆腔腹膜41例(对照组),子宫全切术不缝合盆腔腹膜44例(观察组),分别观察子宫全切术后性生活及并发症的情况。结果观察组与对照组相比,术后性生活感觉良好(P<005),对照组术后盆腔疼痛以及淋巴囊肿发生率较多(P<005),观察组淋巴囊肿发生率低。结论子宫全切术不缝合盆腔腹膜术后并发症较少,患者生活质量较高,建议子宫全切术取消缝合盆腔腹膜的习惯。

Objective To determine whether noclosure of the parietal peritoneum alters the postoperative complications of abdominal hysterectomy.Methods This trial was performed on eight-five women who underwent abdominal hysterectomy.Four-one women were the control “closed” group and fourty-four women to the study “open” group.The main outcome measures were postoperative sex-feeling and complications.Results The morbidity of postoperative pelvic pain and lymphcystis were significantly more in the control group compared to the study group.There was no difference in intestinal obstruction in the two groups.Conclusions Peritoneal noclosure at abdominal hysterectomy provide fewer postoperative complications,and women have better living-quality than closure of the parietal peritoneum.We suggest that the traditional practice of parietal peritoneum closure be abolished at abdominal hysterectomy.