腹式全子宫切除手术方法探讨──附280例临床分析

THE APPROACH TO THREE OPERATIVE METHODS OF ABDOMINOHYSTERECTOMY──A clinical Analysis of 280 Cases

本文对我院1992年1月－1994年8月因各种疾患采用不同方法行腹式全子宫切除术的280例进行分析，其中小切口“提出法”100例，半腹膜外80例，“传统式”100例。结果：手术时间（分），“提出法”81．65，半腹膜外129．12，“传统式”111．95；术中失血（ml），“提出法”183．8，半腹膜外240．63，传统式212．1；肛门排气时间（小时），“提出法”26．63，半腹膜外28．09，“传统式”38．99；术后病率，“提出法”13％，半腹膜外15％，“传统式”31％。均经统计学处理有显著性差异，且提出法腹壁切口小，操作简单，术后恢复快，作者认为提出法是目前较为理想的一种经腹切陈子宫术式。值得推广。

A clinical analysis has been made based on 280 cases of abdominohysterectomy with three mothods from January 1992 to August 1994,in which 'lift Method (LM )', 'Semiexoperitoneal M ethod (SEPM ) 'and 'T raditional Style (TS ) 'were 100,80, and 100 cases respectively. The results were demonstrated as following indexes in mean values:perioperation time (minute ):LM 81. 65;SEPM 129. 12;TS 111. 95 Bleeding of perioperation (millilitre ): LM 183. 3; SEPM 240. 63; TS 212. 1 Postoperative anus exhaust (hours ): LM 26. 63; SEPM 28. 09; TS 38. 99; Postoperaive complications (percentage): LM 13percent; SEPM 15 percent; TS 31percent; There were statistical differences among these indexes (P value less than 0. 05). According to these data, 'Lift Method' is strongly recommed in view of its small incision,ease operation and relatively repid recovery after operation.