次全子宫切除两种手术方式的临床研究

Clinical effect of two methods of subtotal hysterectomy

目的:比较腹式次全子宫切除术和腹腔镜次全子宫切除术两种手术方式的术式选择及临床效果。方法:回顾性分析九江市妇幼保健院2009年1月-2012年12月收治的100例子宫良性病变(子宫肌瘤35例、子宫腺肌症42例、子宫内膜复杂性增生17例、功能失调性子宫出血6例)行手术治疗患者的临床资料,其中36例行腹式次全子宫切除术,64例行腹腔镜下次全子宫切除术,比较两组手术时间、术中出血量、术后肛门排气时间,评价术后性生活满意程度。结果:两组术后肛门排气时间、术中出血量、术后性生活满意程度比较差异有统计学意义(P<0.05),手术时间比较两组无明显差异(P>0.05)。结论:腹腔镜下次全子宫切除术能减少术中出血量、术后恢复快,适用于宫颈无恶性病变的患者。

Objective：To explore the clinical study and significant of laparoscopically and abdominal on subtotal hysterectomy. Methods：A retrospective analysis was performed 100 cases includ 35 cases of uterine fibroid,42 cases of gland of flesh of uterus,17 cases of the endometrial complexity hyperplasia and 6 cases of dysfunctional uterine bleeding,36 cases of abdominal and 64 cases of laparoscopically on subtotal hysterectomy. Results：The postoperative anal exhaust time,peri-operative bleeding and postoperative sexual satisfaction between the two groups had statistical significance（P〈0. 05）. The operative time between the two groups had no statistical significance（P〉0. 05）. Con-clusion：The laparoscopical subtotal hysterectomy can reduce the loss of intraoperative blood and hed quicker recovery time,especially suitable for the patients with cervical benign lesions.