改良腹腔镜子宫切除与经腹筋膜内子宫切除效果比较

Effect comparison between improved laparoscopic hysterectomy and abdominal fascial hysterectomy

目的探讨改良腹腔镜子宫切除的临床应用价值。方法 2008年1月～2010年12月在该院行改良腹腔镜下子宫切除患者27例作为研究组,行传统的经腹筋膜内子宫切除27例为对照组。对比两组手术时间、术中出血量、术后使用镇痛剂情况、术后排气时间、术后体温及术后住院时间等情况。结果研究组所有病例均在腹腔镜下顺利完成手术,无1例出现手术并发症,研究组平均手术时间、出血量、镇痛剂使用率、术后肛门排气时间、术后3d体温及术后住院时间均少于对照组组(P<0.05)。结论改良腹腔镜子宫切除具有手术时间短、损伤小、出血少、疼痛轻、并发症少、术后恢复快及手术瘢痕不明显等特点,安全可行,值得在临床推广。

[Objective] To discuss the clinical application value of the improved laparoscopic hysterectomy.[Method] 27 cases of improved laparoscopic hysterectomy of our hospital between January 2008 and December 2010 were assigned in research group,and the 27 cases of traditional laparoscopic hysterectomy assigned in the control group,so as to compare the operation time,volume of bleeding,anodyne use after operation,discharge time,temperature and bedtime after operation etc.[Result] All the operations in the research group were successfully finished with no complications,and the average operation time,volume of bleeding,ratio of anodyne usage,time of discharge,temperature of the three days after operation and bedtime were less than the control group（P 0.05）.[Conclusion] The improved laparoscopic hysterectomy is better than traditional method in operation time,damage,volume of bleeding,pain and complications,recovery time and surgical scar,safe and feasible,worthy promotion in the clinic practice