腹腔镜鞘膜内子宫切除术56例临床研究

Clinical analysis of 56 cases of laparoscopically Introfasial subtotal hysterectomy

目的 探讨腹腔镜鞘膜内子宫切除术（LISH）的临床价值。方法 将110例良性子宫病变患者随机分为腹腔镜鞘膜内子宫切除手术组（56例）和传统剖腹全子宫切除（TAH）手术组（54例）．比较两组术中、术后情况。结果两组手术时间比较差异无统计学意义（P〉0．05）；两组术中出血量、术后肛门排气时间、术后病率、术后住院日及术后恢复时间等比较差异有统计学意义（P〈0．01）。结论 腹腔镜鞘膜内子宫切除术与传统的剖腹手术比较具有损伤小、出血少、疼痛轻、住院时间短，术后康复快和极少并发症发生等优点，值得临床推广应用。

Objective To investtigate the clinical value of laparoscopical!y introfasial subtotal hysterectomy （LISH）. Methods One hundred and ten cases of benign uterine diseases were divided into two groups. Fifty-six cases of LISH were compared with fifty-four cases of total abdominal hysterectomy（TAH）. The operative time, bleeding volume and postoperative effects were recorded. Results The average duration of operation of LISH were no significantly longer than those of cases of TAH（P 〉 0.05）. But the mean bleed loss,the mean time of bowel function recover,the postoperative morbidity rate,the mean postoperative hospital stay and recovery time of LISH were significantly less than those of TAIl（ P 〈 0.01 ）. Conclusion LISH is worthy of being advocated owing to its benefits,i. e. micro-incision,less blood loss,less pain.shorter hospital stay,quick recovered and fewest complications.