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目的总结分析腹腔镜下大子宫全切除术的安全性及临床优势。方法将我院2013年1月至2015年1月中接收并择期行大子宫全切术的88例患者作为此次研究对象,其中半数患者行腹腔镜下大子宫全切除术纳入腹腔镜组,另外44例患者行传统开腹子宫全切除并标记为开腹组,记录两组患者术中、术后情况,评估该手术的应用价值。结果术中,开腹组患者手术耗时及术中出血量均高于腹腔镜组;术后,开腹组患者在肛门排气时间、首次下床活动时间、最高体温以及住院时间上同样高于腹腔镜组;随访观察发现,开腹组以15.91的并发症发生率明显落后与腹腔镜组,上述差异对比均具有统计学意义(P<0.05)。结论利用腹腔镜行大子宫全切除术安全可靠,术中创伤小,术后并发症少、恢复快,是治疗子宫疾病的理想术式之一。
Objective To summarize and analyze the safety and clinical advantages of laparoscopic radical hysterectomy. Methods From January 2013 to January 2015 in our hospital, 88 patients undergoing total hysterectomy were enrolled in this study. Half of them underwent laparoscopic radical hysterectomy into the laparoscopic group, Another 44 patients underwent traditional open abdominal hysterectomy and marked as open group, the two groups of patients were recorded during and after surgery to assess the value of the operation. Results During the operation, the operation time and intraoperative blood loss were significantly higher in laparoscopic group than in laparoscopic group. After laparotomy, the patients in laparotomy group had the same high anal exhaust time, initial ambulation time, maximum body temperature and hospitalization time In the laparoscopic group, follow-up observation showed that the incidence of complications in the open group was significantly lagged behind that of the laparoscopic group with 15.91. The above differences were statistically significant (P <0.05). Conclusions Laparoscopic hysterectomy is safe and reliable, less trauma in operation, less postoperative complications and faster recovery. It is one of the ideal surgical procedures for the treatment of uterine diseases.