改良腹腔镜筋膜内子宫全切术的临床应用

Clinical application of modified laparoscopic intrafascial hysterectomy

目的:探究改良腹腔镜筋膜内子宫全切术的临床效果。方法:收治行子宫全切术患者72例,采用随机的方法将其分为对照组和观察组,每组36例。观察组行改良腹腔镜筋膜内子宫全切术,对照组行腹腔镜下全子宫切除术,观察比较两组的手术时间、术后住院天数、术中出血量、术后恢复活动时间以及肛门排气时间。结果:对照组手术时间(90.84±15.39)分钟,术中出血量(150.31±27.05)ml。观察组手术时间(60.72±21.18)分钟,术中出血量(100.25±18.97)ml。两组手术时间比较、术中出血量比较差异具有统计学意义(P<0.05)。在肛门排气、手术之后的活动恢复以及手术等时间上,两组比较差异具有统计学意义(P<0.05)。结论:相较于腹腔镜下全子宫切除术,行改良腹腔镜筋膜内子宫全切术损伤小、并发症发生率低、出血少,同时还可以使盆底阴道保持较好的完整性。

Objective:To explore the clinical effect of modified laparoscopic intrafascial hysterectomy.Methods:To admit 72 cases of hysterectomy patients from August 2010 to August 2012,randomly divided into control group and observation group,each group of 36 cases.The observation group have modified laparoscopic intrafascial hysterectomy,the control group have laparoscopic hysterectomy,observe and compare the operation time,postoperative hospital stay,bleeding volume,postoperative recovery time, anal exhaust time of the two groups patients.Results:In the control group,the operation time was 90.84 ± 15.39 minutes,the bleeding volume was 150.31±27.05ml.In the observation group,the operation time was 60.72±21.18 minutes,the bleeding volume was 100.25 ± 18.97ml.Between the two groups in operation time,intraoperative bleeding volume were statistically significant differences(P<0.05).The anal exhaust,operation activity recovery and operation time of the two groups had statistically significant difference(P<0.05).Conclusion:Compared with laparoscopic hysterectomy,modified laparoscopic intrafascial hysterectomy have little damage,low rate of complications,less bleeding,also can keep the pelvic floor vaginal good integrity,is worthy of clinical use.