经腹小切口入路筋膜内大子宫切除术效果观察

Observation of abdominal small incision hysterectomy intrafascial

目的探讨经腹小切口入路筋膜内大子宫切除术的应用效果。方法将我院在2011年4月～2013年4月收治的86例子宫良性病变患者作为研究对象，随机分为两组，每组43例。实验组经腹行小切口人路筋膜内大子宫切除术；对照组行传统子宫切除术，比较两组患者的手术时间、切口长度、住院时间、术后排气时间。结果两组患者的术中出血量比较，没有明显差异（P〉0．05）；实验组的切口长度显著短于对照组（P〈0．05）；实验组的手术时间、术后排气时间及住院时间，均明显比对照组短（P〈0．05）；对照组有7例在阴道残端出现息肉，而实验组仅有1例，组间比较差异具有统计学意义（P〈0．05）。结论经腹小切口人路筋膜内大子宫切除术，具有安全性好、操作简单等优点，值得推广应用。

Objective To evaluate the application effect of abdominal small incision hysterectomy intrafascial. Methods 86 patients with benign uterine in our hospital between April 2011 and April 2013 were collected as the research subjects.The patients were randomly divided into two groups,43 cases of each group.The experimental group underwent abdominal small incision hysterectomy intrafascial,the control group underwent traditional hystereetomyl The Operation time, incision length, length of hospital stay, postoperative discharge time of the two groups were compared. Results The blood loss of the two groups had no significant difference（P ~ 0.05）;the incision length of the experimental group was significantly shorter than tha in the control group（P 〈 0.05）; the operation time, postoperative discharge time and postoperative discharge time were significantly shorter than that in the control group （P 〈 0.05）.There were 7cases appeared vaginal stump polyp in the control group, while the experimental group only one, the difference between two groups was significant（P 〈 0.05）. Conclusion The abdominal small incision hysterectomy intrafaseial has the advantages of good safety,simple operation etc., should be widely applied.