腹腔镜下子宫切除术临床研究.docVIP

腹腔镜下子宫切除术临床研究 　　[摘要]目的 探讨腹腔镜下子宫切除术的实施效果。方法 选取2013年4月～2015年12月我院妇产科收治的行子宫切除术的患者108例，将其随机分为两组，A组患者于腹腔镜下实施子宫切除术，B组患者实施经腹子宫切除术，比较治疗效果。结果 A组患者的手术时间、住院时间、术中出血量短于B组，差异有统计学意义（P0.05）。A组病患的术后下床时间、术后排气时间、术后进食时间短于B组，差异有统计学意义（P0.05）。A组并发症发生例数为1例，发生率为1.85%，B组的并发症发生例数为8例，发生率为14.81%，差异有统计学意义（P0.05）。结论 同经腹子宫切除术比较，腹腔镜下子宫切除术具有手术时间短、术中出血量低等特征，且手术安全性高，值得临床推广应用。 　　[关键词]子宫切除术；腹腔镜；手术时间 　　[中图分类号] R713.4+2 [文献标识码] A [文章编号] 1674-4721（2016）08（c）-0084-03 　　Clinical analysis of laparoscopic hysterectomy 　　FENG Jian-yi 　　Department of Obsetrics and Gynecology，Yangdong District People′s Hospital of Yangjiang City in Guangdong Province，Yangjiang 529931，China 　　[Abstract]Objective To investigate the effect of the implementation of laparoscopic hysterectomy.Methods During April 2013 to December 2015 108 cases of obstetrics and gynecology hysterectomy in our hospital were selected.The patients were randomly divided into two groups，the A group of patients were treated with the implementation of laparoscopic hysterectomy，the B group were treated with abdominal hysterectomy，the clinical effect were compared.Results A group patients operative time，hospital stay，blood loss was shorter than that of group B，the difference was statistically significant （P0.05）.A group patients get out of bed time，postoperative exhaust time，postoperative eating time was shorter than that of group B，comparison was statistically significant （P0.05）.A group having 1 case of complications，the rate was 1.85%，the occurrence of complications in group B was 8 cases，the rate was 14.81%.the difference was statistically significant （P0.05）.Conclusion Compared to laparoscopic hysterectomy，abdominal hysterectomy has a shorter operative time，blood loss，low-level features，and safe operation，has worthy of clinical application. 　　[Key words]Hysterectomy；Laparoscopic；Operative time 　　子宫切除术在医院妇科中非常常见，以往主要采用传统手术对患者进行治疗，不过传统手术对患者身体造成的创伤大，且术后并发症的发生风险较高，手术安全性不够理想。随着医疗技术的进步与发展，腹腔镜技术在子宫切除术中得到了推广与应用，为术者的手术操作提供了有利条件，大大提升了子宫切除术的安全性[1]。本文主要分析腹腔镜