腹腔镜次全子宫切除缝与不缝腹膜的对比研究

Comparative Study of Laparoscopic Subtotal Hysterectomy Between No Suture of Peritoneum and Suture of Peritoneum

目的探讨腹腔镜次全子宫切除术是否需要缝合腹膜。方法取106例子宫良性病变行腹腔镜次全子宫切除的患者,分为不缝腹膜组(观察组)和缝腹膜组(对照组)。对比两组患者手术时间、术中出血量、术后短期疗效和长期预后的随访情况。结果观察组手术时间、住院费用少于对照组,差异有统计学意义(P<0.05)。结论在相同疗效的前提下,不缝腹膜减少了手术操作及麻醉时间,减少了患者麻醉风险及住院费用,医患双方均能获益。

Objective To investigate whether laparoscopic subtotal hysterectomy is necessary for suturing peritoneum.Methods 106 patients with benign uterine lesions were divided into the non-suture peritoneum group(observation group)and the suture peritoneum group(the control group).The operative time,intraoperative blood loss,postoperative shortterm efficacy and long-term prognosis were compared between the two groups.Results The operative time and hospitalization expenses in the observation group were less than those in the control group.The difference was statistically significant(P<0.05).Conclusion On the premise of the same effect,the operation time and time of anesthesia are reduced without suture peritoneum,and the risk of anesthesia and the cost of hospitalization are reduced.Both doctors and patients can be benefit from it.