改良式腹腔镜全子宫切除术的临床对比研究

Clinical Study of the Modified Laparoscopic Panhysterectomy

目的:探讨改良式腹腔镜全子宫切除术临床应用的安全性及疗效。方法:选择2011年1月—2012年4月行全子宫切除术者60例,随机分为改良式腹腔镜全子宫切除术(MLH)组(30例)与腹腔镜全子宫切除术(TLH)组(30例),比较2组患者的术中及术后的相关情况。结果:2组患者手术时间、术中出血量、术后排气时间差异有统计学意义(均P<0.05),子宫大小、术后住院时间和术后盆腔引流量差异无统计学意义(均P>0.05)。结论:MLH的手术时间短,术中出血量少,比TLH的临床疗效更佳,在临床上可替代TLH应用。

Objective：To investigate the safety and efficacy of the modified laparoscopic panhysteroscopy （MLH）. Methods：From January 2011 to April 2012, 60 eases of panhysterectomy surgeries were randomly divided into two groups. Croup 1 was underwent MLH. Group 2 was underwent the traditional laparoseopic panhystereetomy （TLH）. Clinical features related to operation were compared. Results：There were significant differences in the operative time,the bleeding volume within operation,the time of exsufflation after operation between two groups （P〈O.05）. There were not significant differences in the pelvic drainage ,uterine size and the time of hospitalization between two groups （P 〉0.05）. Conclusions：MLH can substitute TLH in clinical panhystereetomy with its shorter operation time, less bleeding volume, and better curative effect.