腹腔镜与开腹全子宫切除的临床病例分析

Laparoscopic Total Hysterectomy Clinical Case Analysis with Laparotomy

目的比较腹腔镜手术与开腹手术全子宫切除的治疗效果。方法将我院在2011年1月至2014年1月期间治疗的180例需进行全子宫切除的患者随机平均分为两组,即对照组与实验组。对照组患者采用常规的开腹手术行全子宫切除,实验组患者则选用腹腔镜手术切除方法,经过一段时间后,比较两组患者的术中情况(如手术时间、出血量)及术后情况(如排气时间、住院时间及疼痛发生率等),进而评价治疗效果。结果两组患者术中情况比较时,手术时间无显著性差异,但实验组患者的出血量明显少于对照组;术后情况中的排气时间、住院时间及疼痛发生率等指标比较时,实验组均显著低于对照组,差异显著,P<0.05,具有统计学意义。结论腹腔镜全子宫切除方法具有疗效高、手术创伤小、患者术后恢复快、住院时间短、患者术后疼痛轻、腹部切口瘢痕小,美观等特点,值得广泛应用于全子宫切除治疗中。

Objective To compare the therapeutic effect of laparoscopic operation and open operation of total hysterectomy. Methods From January 2011 to January 2014 during the treatment of 180 cases of patients were randomly divided into two groups of total hysterectomy, namely control group and experimental group. The control group was treated with conventional open operation for hysterectomy, patients in the experimental group was chosen for laparoscopic resection operation, after a period of time, the two groups were compared intraoperative conditions （such as operation time, bleeding volume） and postoperative conditions （such as exhaust time, hospitalization time and the incidence of pain, and etc.） to evaluate the therapeutic effect. Results The patients in the two groups were compared, no significant difference in operation time, but the experiment bleeding group were significantly less than the control group; the exhaust time, postoperative conditions in time and pain occurrence rate in hospital, the experimental group were significantly lower than those in the control group, the difference was significant, P〈0.05 the statistical significance. Conclusion Laparoscopic hysterectomy method has high curative effect, small operation wound, quick postoperative recovery, short hospitalization time, postoperative pain, abdominal incision scar small, beautiful wait for a characteristic, it is widely used in hysterectomy in the treatment.