摘要
目的比较腹腔镜子宫切除术（LH）、阴式子宫切除术（TVH）与经腹子宫切除术（A11）治疗子宫内膜异位症的临床效果。方法回顾性分析2008年10月至2013年10月于解放军总医院诊断为子宫内膜异位症并行全子宫切除术治疗的232例患者临床资料、其中94例行LH（LH组），85例行TVH（TVH组），53例行AH（AH组）。对3组的术前一般情况、临床表现、手术结局及术后并发症等进行比较、结果LH、TVH与AH组手术时间分别为（160±43）、（116±30）和（213±31）min，m血量分别为（295±203）、（112±87）及（856±529）ml，组间两两比较差异均有统计学意义（P〈0．05）；术后件院时间分别为（6．2±2．0）、（7．1±4．6）及（9．4±3．3）d，AH组分别与LH组及TVH组组间比较差异有统计学意义（P〈0．05）；术后发热发生率、脏器损伤率差异无统计学意义（P〉0．05）。结论TVH具有创伤小、住院时间短等优点，在术者经验丰富、充分掌握手术技巧的前提下，对于盆腔粘连严重的子宫内膜异位症患者来说呵能是最好的选择。
Objective To compare the clinical effect of laparoscopic hysterectomy （LH）, transvaginal hysterectomy（TVH） and abdominal hysterectomy（AH） on endometriosis. Methods A retrospective study included 256 women recruited from the general hospital of People＇s Liberation Army from October 2008 to October 2013. They were divided into three groups 94 with LH, 85 with TVH and 53 with AH. General Infurmation, Clinical manifestatiuns, surgical outcomes and postoperative complications were analyzed and compared among the three treatment groups. Results Operative time was significantly longer in group AH than in group TYH aml group LH, （213 ± 31 ）, （ 116 ± 30） and （ 160 ± 43 ） minutes, respectively （ P 〈 0.05 ） ; estimated volume of blood loss was （856 ± 529 ）, （ 112 ± 87 ） and （295± 203 ） ml, respectively （ P 〈 0.05 ） ; postoperative hospital stay was （ 9.4 ±3.3 ）, （ 7.1 ± 4.6 ） and （ 6.2 ± 2.0 ） d （ P 〈 0.05 ） ; there was no significance of complication rates （ P 〉 0.05）. Conclusions With the surgical procedure of TVH, patients will probably have the least trauma and the shortest in-hospita/ period. With preconditions for surgeons such as experienced surgeons and skilled operative techniques, TVH will be the best choice for endometriosis patients with severe pelvic adhesions.
出处
《中国医药》
2014年第6期880-883,共4页
China Medicine
基金
国家“十二五”科技支撑计划（2012BA13IB06）
关键词
子宫内膜异位症
腹腔镜子宫切除术
阴式子宫切除术
术式选择
Endometriosis
Laparoscopic hysterectomy
Transvaginal hysterectomy
Determinati,,n of the route of hysterectomy
