子宫全切三种术式临床疗效分析

Clinical analysis of three procedures for hysterectomy

目的:探讨3种不同途径子宫全切术的临床效果。方法:回顾性分析185例子宫全切术患者的临床资料,其中传统经腹子宫全切术78例,阴式子宫全切术56例,腹腔镜辅助阴式子宫全切术51例,比较患者术中、术后情况。结果:3种术式手术时间和肛门排气时间差异无统计学意义(P>0.05);术中平均出血量、住院时间传统经腹子宫全切术组均显著高于阴式子宫全切术组和腹腔镜辅助阴式子宫全切术组(P<0.01)。结论:3种手术方式各有优势,在选择术式时,应综合考虑患者状况、疾病因素、术者经验、医院条件等,选择合适的术式。

Objective：To explore the clinical effect of three procedures for hysterectomy. Methods ：The clinical data of 185 cases of hysterectomy were reviewed retrospectively. Seventy-eight cases received total abdominal hysterectomy, 56 cases total vaginal hysterectomy and 51 cases laparoscopy-assisted vaginal hysterectomy. The effect and outcome were compared. Results：There was no significant difference in surgery time and anus exhaust time among the 3 groups （ P 〉 0.05 ）. Total abdominal hysterectomy group were obviously supior to total vaginal hysterectomy group and laparoscopy-assisted vaginal hysterectomy group in average bleeding amount and time of hospital stay（ P 〈 0.01 ）. Conclusions： Each of the 3 surgical procedures has its own advantages, so the choice of operation shoud be based on the overall evaluation of the patients＇ condition,the doctors＇ skill and the hospitals＇ condition.