腹腔镜下改良筋膜内子宫切除术临床研究

Laparoscopic fascial hysterectomy improved clinical research

目的观察腹腔镜下改良筋膜内子宫切除术的临床疗效及安全性,探讨该术式的经济效益。方法回顾性分析本科于1998年12月-2000年2月采用腹腔镜筋膜内子宫切除术治疗的80例患者,按照术式不同分为两组,对照组(n=30)采用经典的Semm式CISH术式进行治疗,改良组(n=50)采用腹腔镜下改良筋膜内子宫切除术进行治疗。对比两组的手术时间、术中出血、术后并发症的发生情况。结果改良组平均手术时间明显短于对照组,术中出血量少于对照组,术后下床活动时间明显短于对照组,差异均有统计学意义(P<0.05);两组术后3d的最高体温及住院时间差异无统计学意义(P>0.05)。结论腹腔镜下改良筋膜内子宫切除术简化了标准Semm式CISH术式,缩短了手术时间、减少术中出血量,有利于促进患者的康复、减少医疗费用,此术式具备临床推广价值。

Objective To observe the laparoscopic fascial hysterectomy improved clinical efficacy and safety of the surgical cost. Methods A retrospective analysis of undergraduate in December 1998 to February 2000 using laparoscopic fascial hysterectomy （ Classis Adominal K Semm Hysterectomy, CISH） treated 80 patients, according to the different surgical were divided into 2 groups, control group （ n = 30） was using the classical style CISH Serum surgical treatment, improved group （ n = 50） nwas improved the use of laparoscopic fas- cial hysterectomy for treatment. To compare two groups of surgical time, blood loss, postoperative complications. Results The mean opera- five time was significantly Improved shorter than the control group （ P 〈 O. 05 ）, less blood loss than the control group （ P 〈 0. 05 ）, postoper- ative ambulation was significantly shorter than the control group （ P 〈 O. 05） ; two patients after 3 days of high temperature and length of stay was no significant difference （ P 〉 0. 05 ）. Conclusion Laparescopic hysterectomy modified fascia simplified standard Serum type CISH procedure, shorter operative time, reduced blood loss, and promoting the rehabilitation of patients, reduce health care costs, this has clini- cal value of surgical