腹腔镜筋膜内全子宫切除术与经腹全子宫切除术及阴式全宫切除术的比较

Comparison of classic intrafascial serrated edge macro morcellator hysterectomy and vaginal hysterectomy and abdominal hysterectomy

目的探讨腹腔镜筋膜内全子宫切除术(CISH)的安全性及临床应用价值。方法对2006年4月～2010年12月125例临床资料进行回顾性对比分析,其中因各种妇科良性疾病而需行全子宫切除者采用腹腔镜筋膜内子宫切除术48例、阴式子宫切除术37例及经腹全子宫切除术40例,收集数据,分析3组术前、术中、术后情况及主要并发症的发生率。结果 CISH组的主要并发症发生率低,术中出血少,手术时间短,术后肛门排气早,下床活动早,术后疼痛轻,术后体温恢复正常快,术后住院时间短,3组比较均有显著性差异(P<0.05)。结论 CISH可以减轻手术创伤,减少对卵巢功能的影响,缩短住院时间,加快术后恢复,是一种安全、可靠的手术方式。

Objective To evaluate the safety and value of clinical applications of classic intrafacial SEMM hysterectomy.Methods Retrospectively compared and analyzed 125 cases with benign gynecological disorders requiring uterine resection from Apr 2006 to Dec 2010.All of them were assigned to classic intrafascial SEMM hysterectomy and vaginal hysterectomy and abdominal hysterectomy.Patient data were collected pre-,intra-and postoperatively.Results The advantages of CISH were low incidence of major complications,shorter operating time and postoperative hospitalization time,reduced blood,earlier postoperative anus exhaust and bed activity,lighter postoperative pain,postoperative temperature returned to normal faster,shorter loss and faster recovery period.There had significant differences of three groups（P0.05）.Conclusion CISH is a method that can relatively reduce the complications and low influence on ovarian function,shorten the length of time,accelerate postoperative recovery.It is a safe and reliable method.