腹腔镜膀胱侧入层次分离法行大子宫全切除术的效果分析

发布时间：2018-08-22 12:52

【摘要】：目的探讨腹腔镜下经膀胱侧入、层次分离法行大子宫全切除术的可行性和优越性。方法以大子宫、多发性子宫肌瘤入院,无生育要求、无手术禁忌证患者22例作为观察组,采用膀胱侧入、层次分离法行腹腔镜下全子宫切除术治疗。取常规法腹腔镜全子宫切除术患者,21例作为对照组,其病例入选条件和肿瘤类型与观察组相似。分析比较两组间的术中和术后情况。结果观察组的手术时间、术中出血量、离床活动时间和住院天数均明显少于对照组,差异有统计学意义(P0.01)。术后体温和排气时间两组差异无统计学意义(P0.05)。对照组有1例膀胱轻度副损伤转开腹手术,有2例术后有慢性腹痛症状。结论膀胱侧入、层次分离法腹腔镜下全子宫切除术治疗大子宫、多发性子宫肌瘤临床疗效好、安全可行,较常规法腹腔镜全子宫切除术具有泌尿系统损伤率降低、手术时间短、术中出血量少、离床活动时间短、住院天数少,术后恢复快的优点。
[Abstract]:Objective to explore the feasibility and superiority of laparoscopic total hysterectomy through the lateral approach of bladder. Methods A total of 22 patients with large uterus, multiple hysteromyoma, no fertility requirement and no contraindication were treated by laparoscopic hysterectomy. 21 patients with laparoscopic hysterectomy were taken as control group. The selection conditions and tumor types of the patients were similar to those of the observation group. The intraoperative and postoperative conditions were analyzed and compared between the two groups. Results the time of operation, the amount of blood lost during operation, the time of moving away from bed and the days of hospitalization in the observation group were significantly less than those in the control group (P0.01). There was no significant difference in body temperature and exhaust time between the two groups (P0.05). In the control group, one patient with mild bladder injury was converted to open surgery, and two patients had chronic abdominal pain after operation. Conclusion Laparoscopic hysterectomy is safe and effective in the treatment of large uterus. Compared with conventional laparoscopic hysterectomy, the rate of urinary system injury is lower and the operation time is shorter than that of conventional laparoscopic hysterectomy. The advantages of less intraoperative bleeding, shorter time off from bed, less hospital stay, and quick postoperative recovery.
【作者单位】：辽宁省沈阳市苏家屯区妇婴医院妇产科;中国医科大学附属盛京医院妇产科;
【分类号】：R713.4

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