34例腹腔镜辅助次全子宫切除手术临床研究

Analysis of 34 Cases with Laparoscopic Supracervical Hysterectomy

目的探讨腹腔镜辅助次全子宫切除手术的临床效果。方法同一手术组医生选择有次全子宫切除手术指征的妇科良性疾病患者64例,30例行常规开腹次全子宫切除手术作对照组,34例行腹腔镜辅助次全子宫切除手术。比较两组患者的手术时间、术中出血量、术后病率、腹壁切口感染、胃肠功能恢复情况。结果腹腔镜辅助手术组术中出血少于开腹手术组(105.00±33.42mlvs125.00±41.08ml,P<0.05),两组在处理附件时间(12.68±2.96minvs13.98±3.11min,P>0.05)、手术总时间(74.12±12.21minvs69.67±9.00min,P>0.05)上无明显统计学差异。两组均无术中及术后严重并发症发生。结论腹腔镜辅助次全子宫切除手术较传统开腹手术出血量少,损伤小,处理子宫血管安全,术后恢复快。

Objective To evaluate the clinical results of patients submitted to laparoscopic assisted supracervical hysterectomy for benign uterine disease. Methods Women referred for supracervical hysterectomy for benign uterine diseases were divided into laparoscopy group （ n = 34） or open group （ n = 30 ）. The operative time, blood loss, complications, morbidity, ileus, wound infections were compared between the two groups. Results In terms of Operative time, both of total operative time and oophosalpingorectomy time, there was no significant difference between laparoscopic group and open group. Less blood loss was found in laparoscopic group than open group. No complications were found in both groups. Conclusions Laparoscopic assisted supracervical hysterectomy is a safer and easier approach to complete supracervical hysterectomy with reduced blood loss and quick convalescence. It can be successfully integrated into a large health maintenance organization/residency - training program.