摘要
目的探讨改良腹腔镜筋膜内子宫切除术(MISH)的临床应用价值。方法回顾分析江西省人民医院2005年6月至2010年5月所施行的MISH123例和CISH254例的临床资料。比较两组的手术效果(手术时间、术中出血量、术后肛门排气时间、术后住院时间、并发症、手术后的性激素变化)。结果两组的手术时间、术中出血量、术后肛门排气时间、术后住院时间差异无统计学意义(P>0.05);MISH组术后病率,残鞘出血、感染率明显低于CISH组(P<0.01);MISH组术后6个月外周静脉血中卵泡刺激素(FSH)显著低于CISH组(P<0.01)、雌二醇(E2)显著高于CISH组(P<0.01)。结论 MISH创伤小,恢复快,且能保护卵巢功能,是治疗子宫良性病变的理想术式。
Objective To investigate the clinical value of modified intrafascial supracervical hysterectomy （MISH） under laparoscope. Methods 123 cases of MISH and 254 cases of CISH performed in the People＇s Hospital of Jiangxi Province from June 2005 to May 2010 were retrospective analyzed for clinical data. Compared the operative effect （time of operation, hemorrhage during operation, restitution after operation, the time of hospitalization, complication, and serum sex hormone levels after operation）. Results There were no significant difference between two groups in the time of operation, hemorrhage during operation, postoperative exhaust time, and the time of hospitalization. For the group of MISH, postoperative hemorrhage was less, postoperative infection was less, estradiol （ E2 ） was higher, follicle stimulating hormone （FSH） was less. Conclusion MISH is a useful method with less harm,less hemorrhage and faster restitution, protecting ovarian function.
出处
《中国实用医药》
2011年第27期4-6,共3页
China Practical Medicine
基金
江西省卫生厅基金资助项目(项目编号:200501003)
关键词
改良
腹腔镜
子宫切除术
筋膜内
Modified
Laparoscope
Hysterectomy
Intrafascial supracervical
