腹部小切口辅助阴式子宫切除术与阴式子宫切除术疗效比较

• 作 者: 周原 徐慧 顾建全
• 机 构: 山东省枣庄市立医院妇产科,
• 出 处: 医药论坛杂志
• 发表日期: 2009年16期
• 关键词: 阴式子宫切除术 腹部 小切口

目的比较腹部小切口辅助阴式子宫切除术与阴式子宫切除术临床疗效。方法回顾性分析2007年2月-2009年3月在我院行两种术式的病历66例,腹部小切口辅助阴式子宫切除术为研究组,阴式子宫切除术为对照组,对多项临床指标进行分析。结果研究组和对照组比较手术时间短(P<0.05),术中出血少(P<0.05),术后排气时间、术后下床活动时间、术后恢复正常体温时间、术后住院天数两组比较差异无显著意义(P>0.05)。结论腹部小切口辅助阴式子宫切除术与阴式子宫切除术比较,手术时间明显缩短,术中出血亦明显减少,减轻了患者的经济负担,满足了一部分经济困难患者对微创手术的要求,本术式具有临床实用价值。

Objective To compare the clinical effect of small abdominal incision assisted vaginal hysterectomy and vaginal hysterectomy. Methods A retrospective analysis of 66 cases of two kinds of operation in our hospital from February 2007 to March 2009, small abdominal incision assisted vaginal hysterectomy for the study group, vaginal hysterectomy as the control group, the more Item of clinical indicators for analysis. Results Compared with the control group, the operation time was shorter (P <0.05), less bleeding during operation (P <0.05), postoperative exhaust time, ambulation time after operation, normal body temperature after operation, postoperative hospital stay There was no significant difference between the two groups (P> 0.05). Conclusions Compared with vaginal hysterectomy, the operation time of vaginal hysterectomy assisted by vaginal incision is significantly shortened, bleeding during operation is significantly reduced, the economic burden of patients is reduced, the requirements of minimally invasive surgery for some patients with economic difficulties are met, This procedure has clinical practical value.