30例腹腔镜子宫次全切术临床分析

Clinical analysis of 30 cases of laparoscopic subtotal hysterectomy

目的探讨妇科腹腔镜子宫次全切除术的临床疗效。方法回顾性分析我院2009年1月~2010年12月,30例腹腔镜子宫次全切除术和36例腹式次全子宫切除术患者的临床资料,对两种手术的术中、术后恢复情况及并发症进行比较分析。结果腹腔镜组术后镇痛使用率、手术并发症发生率、肛门排气时间及术后住院天数、术后并发症均明显低或少于开腹组(P<0.05),腹腔镜术前、术后的白细胞、中性粒细胞百分比比较无显著性差异(P>O.05),开腹手术术前、术后的白细胞、中性粒细胞百分比比较有显著性差异(P<0.05),两组患者手术时间和术中出血量的差异无统计学意义(P>0.05)。结论腹腔镜下子宫次全切除术是一种理想的手术方式、安全可行,临床疗效较好,并且基本不影响血象。

Objective To investigate the clinical efficacy of gynecological laparoscopic subtotal hysterectomy. Methods The clinical information of 30 cases underwent laparoscopic subtotal hysterectomy and 36 cases underwent abdominal subtotal hysterectomy in our hospital from January 2009 to December 2010 were retrospectively analyzed, and intraoperative and postoperative recovery and complications of two operations were compared and analyzed. Results The rate of postoperative analgesia using, incidence of surgical complications,anal exhaust time and postoperative hospital stay,postoperative complications of the laparoscopic group were significantly lower or less than those of the laparotomy group（P 〈0.05）.The differences were not significant in leukocyte and neutrophil percentage between before and after laparoscopic surgery（P 〉 0.05）,while the differences were significant in leukocyte and neutrophil percentage between before and after lap^rotomy（P 〈 O.05）.The differences were not statistically significant in operative time and blood loss between two groups（P ~ 0.05）. Conclusion Laparoscopic subtotal hysterectomy is an ideal surgical approach, and safe, feasible,better clinical efficacy,and does not influence the blood.