摘要
目的分析腹腔镜下次全子宫切除术治疗子宫腺肌病的临床价值及术后效果。方法随机选取93例明确诊断为子宫腺肌病且需要手术治疗的患者,因环境、家庭等原因按照采用的手术方法分为腹腔镜次切组32例、开腹全切组30例和开腹次切组31例。对比三组患者手术出血量、住院时间、住院总费用、术后留置尿管时间和肛门排气时间;比较术后腹痛级别,尿潴留、输尿管损伤等近期并发症及潮热、继发子宫内膜异位等远期并发症。结果腹腔镜次切组患者的住院时间、术后留置尿管时间和肛门排气时间平均为6.43 d、2.06 d、15.67 d,出血量和住院费用平均为100.65 m L、4348.15元,均优于其他两组,差异有显著性意义(P均<0.05);开腹全切组和开腹次切组相比,以上指标差异无显著性意义(P均>0.05)。手术治疗2年后,腹腔镜次切组患者的轻度、中度疼痛比较常见,而开腹手术的重度疼痛最常见,三组相比差异具有显著性意义(P<0.05)。腹腔镜次切组患者的并发症发生率为6.25%,其他两组患者的并发症发生率分别为20.00%和22.58%,差异具有显著性意义(P<0.05)。结论腹腔镜下次全子宫切除术治疗子宫腺肌病具有疗效好、并发症少、明显减轻疼痛等特点,临床应用价值较高。
Objective To analyze the effect of laparoscopic hysterectomy in the treatment of patients with uterine adeno- myosis. Methods Randomly, 93 cases were selected and divided into laparoscopic resection group, open laparotomy total hysterectomy group and open laparotomy subtotal hysterectomy group. The amount of intraoperative bleeding, postopera- tive score for abdominal pain, complications, and urinary retention were compared. Results The intraoperativc bleeding in the laparoscopic hysterectomy group was significantly less than those in the open surgery groups （P 〈 0.05 ）. The post-operative scores for abdominal pain in the laparoscopic resection group were significantly better than the other two groups （P 〈0. 05 ）. The laparoscopic resection group had significantly fewer complications than the other two groups （P 〈 0.05）. Conclusion The value of laparoscopic hysterectomy in the treatment of uterine adenomyosis is high.
出处
《大连医科大学学报》
CAS
2017年第2期148-151,共4页
Journal of Dalian Medical University
关键词
子宫腺肌病
腹腔镜
次全子宫全切除术
术后效果
uterine adenomyosis
laparoscopy
subtotal hysterectomy
postoperative effect
作者简介
李莹莹（1983-），女，主治医师。E—mail：11861357@qq.com
