腹腔镜筋膜内子宫切除术268例临床分析

目的 :探讨腹腔镜筋膜内子宫切除术的临床应用价值。方法 :选择 2 0 0 0年 5月～ 2 0 0 3年 5月实施的腹腔镜筋膜内子宫切除术 2 68例为研究组 ,其中子宫肌瘤 164例 ,子宫腺肌症 65例 ,功血 2 6例 ,卵巢囊肿 13例。取同时期同组医师开腹子宫切除术 2 0 0例为对照组 ,比较两组患者手术时间、术中出血量、术后发热率、术后住院天数、排气时间、术后疼痛及抗生素应用天数等指标。结果 :研究组术后住院日短、抗生素使用时间短、排气时间短 (均P <0 0 0 1) ,发热率低、术中出血量较少 (P <0 0 1)。结论 :腹腔镜筋膜内子宫切除术创伤小、出血少、恢复快、住院时间短 ,值得推广应用。

Clinical analysis of 268 cases treated by classical intrafascial supracervical hysterectomy

Objective: To discuss the value of classical intrafascial supracervical hysterectomy (CISH).Methods: Sampling two group patients during 2000.5～2003.5:CISH group (62 patients) and abdominal hysterectomy (AH) group (60 patients).All operations are taken by the doctors of same group.Evaluate data such as operating time,blood lost,rate of postoperative fever,postoperative hospital stay,postoperative farting time,postoperative pain and antibiotics consumption.Results: The rate of hospital stay,farting time and antibiotics consumption of CISH group is less than AH group (P<0.001),either postoperative fever and the blood lost (P<0.01).Conclusion: In CISH there is small incision,little bloodloss,short hospital stay,recovering time is faster.Thus,CISH is good for application.