摘要
目的比较电视腹腔镜下筋膜内子宫切除术与开腹子宫切除术的临床效果。方法回顾性分析腹腔镜下筋膜内子宫切除术256例(腹腔镜组),开腹子宫切除术732例(开腹组),对照分析两组手术术中及术后情况。结果腹腔镜组术中失血量明显少于开腹组(P<0.05),腹腔镜组术后肛门排气时间、导尿管留置时间、术后下床活动时间、住院时间明显短于开腹组(P<0.05),腹腔镜组术后病率、术后镇痛剂使用率明显低于开腹组(P<0.05)。结论腹腔镜下筋膜内子宫切除术明显优于开腹子宫切除术,是一种最理想的子宫切除方式,值得在临床中推广使用。
[Objective] To compare the clinical effects of classic intrafacial supracervical hysterectomy （CISH） under laparoscope and abdominal hysterectomy （AH）. [Methods] 256 patients treated by CISH and 732 by AH in our hospital between October 2004 and October 2008 were retrospectively analyzed, and both intraoperative and postoperative conditions were compared. [Results] The intraoperative blood loss in cases of CISH was less than that in AH cases （P 〈0.05）. The anus gas passage time, the time of keeping urethral catheter, the time of postoperative activities and hospital stay in cases .of CISH were signitlcandy shorter than in AH cases （P 〈0.05）, the incidence of postoperative diseases and the rate of using analgesics in CISH cases were obviously lower than in AH cases （P 〈 0.05）. [Conclusion] The effect of intrafacial supraeervical hysterectomy is significantly better than that of abdominal hysterectomy, the former is an ideal method of hysterectomy and worth of popularizing in clinic.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第4期377-379,383,共4页
China Journal of Endoscopy
关键词
腹腔镜
筋膜内子宫切除术
全子宫切除术
laparoscopy
classic intrafacial supracervical hysterectomy
abdominal hysterectomy
