腹腔镜辅助阴式子宫切除术100例临床对比分析

目的 :探讨使腹腔镜辅助阴式子宫切除术简单化的方法。方法 :回顾分析 2 0 0 0年 7月至 2 0 0 4年 3月 10 0例腹腔镜辅助阴式子宫切除术的临床资料 ,其中观察组 5 0例使用GEN30 0型智能型超声切割止血刀处理和改进手术技巧 ,对照组 5 0例使用电刀处理。结果 :观察组手术时间 98.6± 2 6 .3min ,对照组 16 3.5± 4 2 .4min ,两组手术时间差异有显著性 (P <0 .0 0 1)。观察组出血量 10 4 .3± 2 6 .2ml,对照组出血量 2 86 8±5 3.2ml,差异有显著性 (P <0 .0 0 1)。术后最高体温 ,观察组为 37.6± 0 .7℃ ,对照组为 38.2± 1 0℃ (P <0 .0 0 1)。术后肛门排气时间观察组为 2 2 .7± 2 .9h ,对照组为 33.8± 4 .8h(P <0 .0 0 1)。结论 :智能型超声切割止血刀的引进和手术技巧的改良 ,可使腹腔镜辅助阴式子宫切除术简单化 ,明显缩短了手术时间 ,术中出血减少 ,术后最高体温低 ,康复快 ,尤其适用于阴式子宫切除术操作欠娴熟的人员。

Clinical comparion of 100 cases with laparoscopic assisted vaginal hysterectomy

Objective:To explore a method of simplifying laparoscopic assisted vaginal hysterectomy(LAVH).Methods:During July2000to March2004,100cases with LAVH were analysed retrospectively.They were divided into two groups,the observe group(50cases)with ultracision and the control group(50cases)with HF equipment for electro-coagulation.Results:There was significant difference(P<0.001)in operating time,which was98.6±26.3min in ob-serve group and163.5±42.4min in control group.The blood loss in both groups also had significant difference(P<0.001),which was104.3±26.2ml in observe group and286.8±53.2ml in control group.The highest body temperature after operation was37.6±0.7℃in the observe group and38.2±1.0℃in the control group(P<0.001).Conclusions:The introduction of ultracision and the improvement of technique can make LAVH simpler,significantly reduce the inci-dence of hemorrhage,shorten operating time,and decrease fever postoperation,so it is especially fit for operators who are not practised in LAVH.