腹腔镜膀胱侧入层次分离法行大子宫全切除术的临床疗效评价.docVIP

精品论文 参考文献 腹腔镜膀胱侧入层次分离法行大子宫全切除术的临床疗效评价 湖南省安仁县人民医院 湖南郴州 423600 【摘 要】目的：研究腹腔镜膀胱侧入层次分离法行大子宫全切除术的临床疗效。方法：研究资料来自2014年3月—2015年12月我院大子宫多发子宫肌瘤患者67例，根据随机数字表法，分为膀胱侧入组和传统术组。传统术组行腹腔镜全子宫切除术；膀胱侧入组腹腔镜膀胱侧入层次分离法行大子宫全切除术。就两组患者手术耗时、术中出血、下床时间、住院时间和中转开腹率、术后并发症率进行比较。结果：传统术组有1例中转开腹率、1例慢性腹痛，膀胱侧入组未出现，X2检验P＞0.05无统计学意义。膀胱侧入组患者手术耗时、术中出血、下床时间、住院时间均少于传统术组，t检验P＜0.05有统计学意义。结论：腹腔镜膀胱侧入层次分离法行大子宫全切除术的临床疗效确切，可有效缩短手术时间，减少术中损伤，术后可尽早下床和康复出院，值得推广。 【关键词】腹腔镜膀胱侧入层次分离法；大子宫全切除术；临床疗效 【 abstract 】 objective：to study the laparoscopic bladder side line level separation big uterus total resection of clinical curative effect.Methods：the data from March 2014 - December 2015 in our big happens，67 patients with uterine fibroids of the uterus，according to random number table method，divided into the bladder side into the group and traditional group.Traditional surgery group of laparoscopic total hysterectomy；Bladder side into the group of laparoscopic bladder side line level separation big uterus resection.Two groups of patients had surgery time consuming，intraoperative bleeding，bed time，length of hospital stay，and transit operation rate and postoperative complication rate.Results：1 case of traditional surgery group rate transfer laparotomy，1 case of chronic abdominal pain and bladder side into the group，X2 test，P gt; 0.05，no statistical significance.Bladder side into the group of patients operation time，intraoperative bleeding，bed time，length of hospital stay were less than traditional surgery group，the t test（P lt; 0.05，with statistical significance.Conclusion：laparoscopic bladder side line level separation big uterus total resection of clinical curative effect，which can effectively shorten the operation time，reduce intraoperative injury，postoperative hospital bed and rehabilitation as soon as possible，is worth promoting. 【 key words 】 laparoscopic bladder side into the level of separation；All big uterus resection；Clinical curative effect 子宫肌瘤为常见妇科良性肿瘤，其中，复杂性子宫肌瘤（肌瘤结节大于等于