腹腔镜与经腹鞘膜内子宫切除术的临床对照分析

目的 :探讨腹腔镜鞘膜内子宫切除术的优越性及临床应用价值。方法 :15 2例行腹腔镜鞘膜内子宫切除术 (腹腔镜组 ) ,与同期 138例经腹鞘膜内子宫切除术 (开腹组 )进行比较。结果 :腹腔镜组平均手术时间 86 6 7± 18 89min ,术中平均出血量 12 4 5 3± 5 3 2 2ml ;对照组平均手术时间 83 5 0± 14 72min ,术中平均出血量 114 4 2± 5 0 36ml,两组差异无显著性 (P >0 0 5 )。腹腔镜组术后排气时间为 2 6 80± 4 6 3h ,术后最高体温为 37 5 1± 0 33℃ ,术后住院天数为 4 0 2± 0 89d ;开腹组术后排气时间为 32 4 6± 6 2 3h ,术后最高体温为 38 0 9± 0 2 9℃ ,术后住院天数为 5 96± 1 0 3d ,两组差异有高度显著性 (P <0 0 0 1)。术后病率 ,腹腔镜组无 1例 ,开腹组 7例 (5 % )。腹腔镜组 1例膀胱损伤 ,镜下修补 ,开腹组无损伤。结论 :腹腔镜鞘膜内子宫切除术具有腹壁创伤小 ,术中出血少 ,术后康复快及并发症少等优点 ,是较理想的子宫切除术式

The clinical contrast analysis of hysterectomy with laparoscopy and abdominal tunica vaginal inner

Objective:To explore the advantages and clinical value of performing laparoscopic hysterectomy.Methods:152patients were performed the laparoscopic hysterectomy(laparoscopy group),and138patients were per-formed the abdominal tunica vaginal inner hysterectomy(laparotomy group).Results:The mean surgical time was86.67±18.89min,the mean bleeding in operation was124.53±53.22ml in laparoscopy group,and the mean surgical time was83.50±14.72min,the mean bleeding in operation was114.42±50.36ml in laparotomy group.There was no significant difference between the two groups(P>0.05).The carminative time was26.80±4.63hours,the highest temperature was37.51±0.33℃,the mean hospitalization was4.02±0.89days after operation in laparoscopic group,and the carmina-tive time was32.46±6.23hours,the highest temperature was38.09±0.29℃,the mean hospitalization was5.96±1.03days in laparotomy group.There was significant difference between the two groups(P<0.001).There was no a sick case in laparoscopic group after operation,but the7cases in laparotomy group.The laparoscopic group had a case suffered from the trauma of bladder and cured immediately.The laparotomy group had no injury.Conclusions:Laparoscopic sur-gery of hysterectomy has the advantages of little injury,complications and fast recovery.It is one excellent surgical tech-nique of treatment on hysterectomy.