改良剥离粘连术式在腹腔镜下切除困难全子宫

目的:探讨不同途术式切除困难子宫的临床效果。方法:回顾性分析185例子宫全切术患者的临床资料,其中传统经腹子宫全切术78例,阴式子宫全切术56例,腹腔镜辅助阴式子宫全切术5l例,比较患者术中、术后情况。结果:3种术式手术时间和肛门排气时间差异无统计学意义(P>0.05);术中平均出血量、住院时间,传统经腹子宫全切术组均显著高于阴式子宫全切术组和腹腔镜辅助阴式子宫全切术组(P<0.01)。结论:3种手术方式各有优势,在选择术式时,应综合考虑患者状况、疾病因素、术者经验、医院条件等,选择合适的术式。

Total hysterectomy under laparoscopy with improved decollectment of adhesion

Objective:To explore different three kinds of removing uterus.Methods:Retrospectively analyzed clinical data of 185 cases with uterine hysterectomy,including 78 cases with traditional abdominal hysterectomy,56 cases with vaginal hysterectomy,and 51 cases with laparoscopically assisted vaginal hysterectomy,and compared the situation during and after operation.Results:There was no significant difference(P>0.05)in operation time and anal exhaust time;The average amount of bleeding during operation,length of stay in hospital in traditional abdominal hysterectomy group were significantly higher than vaginal hysterectomy group and laparoscopically assisted vaginal hysterectomy group(P<0.01).Conclusion:The three kinds of surgical methods have their own advantages,the status,disease factors,operator experience,hospital conditions should be considered as selecting appropriate surgical procedures.