腹腔镜下全子宫切除术临床疗效分析.doc

腹腔镜下全子宫切除术临床疗效分析[摘要] 目的：经过比较经腹全子宫切除术和腹腔镜下全子宫切除术的临床效果，探讨腹腔镜下全子宫切除术的临床应用疗效。方法：选择2007年3月～2009年11月经腹全子宫切除术100例，腹腔镜下全子宫切除术100例，对两组术中、术后及恢复情况进行比较。结果：经过比较两组的手术时间、术中出血量、术后肛门排气时间、术后并发症的发生率后，结果显示两组术式的手术时间比较，差异无统计学意义（P＞0.05），而腹腔镜组的术中出血量、术后肛门排气时间以及术后并发症发生率明显优于腹式组，差异有统计学意义（P＜0.05），腹腔镜下全子宫切除术的临床疗效明显优于经腹全子宫切除术。结论：腹腔镜下全子宫切除术是一种疗效明显、安全可靠的手术方式，值得在临床广泛开展。 [关键词] 经腹全子宫切除术；腹腔镜下全子宫切除术；临床疗效 [中图分类号] R713.42 [文献标识码]Ａ[文章编号]1673-7210（2011）03（c）-040-02 Clinical efficacy of complete hysterectomy under laparoscope YE Qiling Department of Gynecology, the First People′s Hospital of Huizhou City in Guangdong Province, Huizhou 516003, China [Abstract] Objective: To discuss the clinical application efficacy of complete hysterectomy under laparoscope through comparing clinical effects of abdominal total hysterectomy and complete hysterectomy under laparoscope. Methods: 100 cases of abdominal total hysterectomy and 100 cases of complete hysterectomy under laparoscope from March 2007 to November 2009 were selected, and intra-operative, postoperative and recovery conditions of the two groups were compared. Results: the results showed that the operation time comparison of operation methods in the two groups had no prominent difference （P＞0.05）, while the intra-operative bleeding amount, postoperative anal exhaust time and postoperative complication incidence rate of the laparoscope group were significantly better than those of the group with abdominal total hysterectomy through comparing the operative time, intra-operative blood loss, postoperative anal exhaust time and the incidence rat of postoperative complications of the two groups, the difference was statistically significant (P 1.3 统计学方法 统计学数据采用SPSS 16.0统计学分析软件包进行处理，计量数据数据以均数±标准差（x±s）表示。计数资料采用四格表资料χ2检验；计量资料采用t检验。P＜0.05表示差异有统计学意义。 2 结果 两组术中、术后及恢复情况的比较见表2。由表2可见，两组术式的手术时间比较，差异无统计学意义（P＞0.05），而腹腔镜组的术中出血量、术后肛门排气时间以及术后并发症发生率明显优于腹式组（P＜0.05）。 近年来，临床上出现大量因妇科良性疾病需切除子宫的病例，对于妇女来说，一种安全性高、创伤性小、术后恢复快、对生活影响小的切除途径是最理想的手术方式，也是目前