腹腔镜下次全子宫和全子宫切除术治疗子宫良性病变的临床疗效比较

目的：比较腹腔镜下次全子宫与全子宫切除术治疗子宫良性病变的临床疗效。方法方便选取并回顾性分析该院在2013年6月＿2015年6月期间收治的90例子宫良性病变患者,其中45例行腹腔镜下次全子宫切除术,45例行腹腔镜下全子宫切除术,比较两组患者的住院时间、术中出血量、手术时间等手术相关指标、并发症发生率以及性功能评分。结果腹腔镜下次全子宫切除术组患者住院时间(3.01±0.44﹚d、手术时间(61.28±10.25﹚min、术中出血量(40.54±4.82﹚mL均少于全子宫切除术组,差异有统计学意义(P<0.05﹚；两组患者的肛门排气时间差异无统计学意义(P>0.05﹚。腹腔镜下次全子宫切除术组患者并发症发生率为0.00%,明显低于全子宫切除术组的6.67%,且x2=3.10, P<0.05,差异有统计学意义。腹腔镜下次全子宫切除术组术后性功能评分高于全子宫切除术者(P<0.05﹚,差异具有统计学意义。结论在允许保留宫颈的前提下,腹腔镜下次全子宫切除术相比腹腔镜下全子宫切除术有着术后恢复快、创伤小、并发症少、对性生活影响小等明显的优势,值得推广。

Comparison of Clinical Effects of Laparoscopic Total Hysterectomy and To-tal Hysterectomy in the Treatment of Uterine Benign Lesions

Objective To compare the clinical effect of laparoscopic subtotal hysterectomy and total hysterectomy in the treatment of uterine benign lesions. Methods Convenient selection and retrospective analysis of our hospital during June 2013 to June 2015 were 90 cases of uterine benign lesions, 45 cases underwent laparoscopic subtotal hysterectomy, 45 cas-es underwent laparoscopic total hysterectomy, compared two groups of patients with the hospitalization time, intraoperative bleeding volume, operation time and operation related index, and the incidence rate of complications of function score. Re-sults Laparoscopic subtotal hysterectomy group hospitalization time (3.01±0.44)d, operation time (61.28±10.25)min, bleeding (40.54±4.82)mL were less than the total hysterectomy group, significant difference(P<0.05), there was statistical significance;no significant differences between the two groups of patients with anal exhaust time (P>0.05). The incidence rate of compli-cations in laparoscopic hysterectomy group was 0%, significantly lower than that of total hysterectomy group of 6.67%, and x2=3.10, P<0.05, the difference was statistically significant. The postoperative sexual function score of the laparoscopic subtotal hysterectomy group was higher than that of the whole hysterectomy group (P<0.05), the difference was statistically significant. Conclusion In the premise allowed to keep cervical, laparoscopic subtotal hysterectomy under laparoscopy com-pared with quick recovery, small trauma, fewer complications, little effect on sexual life advantages have a hysterectomy af-ter operation, worthy of promotion.