国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2015, Vol. 34 ›› Issue (5): 382-384.

• 论著 • 上一篇    下一篇

腹腔镜下困难性子宫切除经验分享

潘晓华，凌静，谭洁，张晨霞   

  1. 214400 江苏省江阴市人民医院妇科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-09-15 发布日期:2015-09-15

Experience Sharing on Application of Laparoscopy in Complicated Hysterectomy

PAN Xiao-hua，LING Jing，TAN Jie，ZHANG Chen-xia   

  1. Department of Gynecology，Jiangsu Jiangyin People′s Hospital，Jiangyin 214400，Jiangsu Province，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-09-15 Online:2015-09-15

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摘要： 目的：探讨腹腔镜下困难性子宫切除的可行性及临床效果。方法：回顾性分析2012年5月—2014年5月在江阴市人民医院妇科行腹腔镜下困难性子宫切除的86例患者（观察组）的临床资料，同期行腹腔镜下普通子宫切除的86例患者的临床资料作为对照（对照组），比较2组的手术时间、术中出血量、中转开腹率、副损伤发生率、术后病率、肛门排气时间、住院时间以及术后患者满意率。结果：观察组的手术时间和术中出血量均高于对照组，差异有统计学意义[分别为（154.60±44.67）min vs. （89.13±13.79）min和（210.47±138.93）mL vs. （70.93±43.57）mL，均P＜0.05]；2组中转开腹率、副损伤发生率、肛门排气时间、住院时间、术后病率及术后患者满意率比较，差异无统计学意义（均P＞0.05）。结论：与腹腔镜下普通子宫切除相比，腹腔镜下进行困难性子宫切除，未增加手术风险及并发症，且具有创伤小、恢复快等优点，是进行困难性子宫切除的理想手术方法。

关键词: 腹腔镜, 腹腔镜检查, 子宫切除术, 黏连, 妇科外科手术

Abstract: Objective: To explore the feasibility and clinical effect of the application of laparoscopy in the complicated hysterectomy. Methods：This is a retrospective analysis on 86 cases with the complicated laparoscopic hysterectomy （ｔｈｅ ｏｂｓｅｒｖａｔｉｏｎ ｇｒｏｕｐ） performed from May 2012 to May 2014 in our hospital. 86 patients with usual laparoscopic hysterectomy were assigned as the control group. The operation time, intraoperative blood loss, incidence of transfer laparotomy, vice injury, rate of postoperative diseases, anal exhaust time, average days of hospital stay, and postoperative patient satisfaction, were compared between the two groups. Results：The operation time and bleeding amount during operation in the observation group were significantly higher than those in the control group [（154.60±44.67） min vs. （89.13±13.79） min; （210.47±138.93） mL vs. （70.93±43.57） mL，both P＜0.05]. There were not significant differences in the transfer laparotomy rate, vice injury incidence, anus exhaust time, hospital stay, postoperative disease rate and postoperative satisfaction between the two groups （all P＞0.0５）． Conclusions：Compared with laproscopic hysterectomy, the complicated hysterectomy under laparoscopy does not increase the risk of operation and complications，with the advantages of small trauma and faster recovery.

Key words: Laparoscopes, Laparoscopy, Hysterectomy, Adhesions, Gynecologic surgical procedures