摘要
目的 比较诺舒子宫内膜去除术与腹腔镜全子宫切除术的效果及术后并发症的处理.方法 选取2013～2014年因异常子宫出血在我院手术治疗的200例作为研究对象,随机分为A、B两组,诺舒子宫内膜去除术组（A组108例）,平均年龄为44.31岁;腹腔镜全子宫切除术（B组92例）,平均年龄为43.22岁.比较两组患者的手术时间、手术出血量、术后肛门排气时间等术后恢复情况并进行术前评价.结果 A组在手术过程中没有1例需要中途转为开腹,A组手术时间、手术出血量、肛门排气时间、术后发热率、术后下床活动时间、术后镇痛药使用率、术后住院时间均明显低于B组（P＜0.05）,并发症明显少于B组（P＜0.05）.结论 诺舒子宫内膜去除术能够减少创伤、缩短手术时间、减少术中出血量、缩短住院时间、加快术后恢复并减少并发症的发生,是一种更有效,更安全的异常子宫出血的治疗方法,值得临床推广应用。
Objective To investigate the effect and complications of ivanovendometrial ablation and laparoscopic hysterectomy. Method 230 patients underwent hysterectomy were divided into hysteroscopy group （208 cases） and laparotomy group （22 cases）. Hysteroscopy group was given therapy with laparoscopic and laparotomy group was given therapy with open surgery. The effect and complications were observed. Results The hysteroscopy group did not have any case with intermediate conversion to open surgical procedure. The operative time, blood loss, anal exhaust time, the rate of postoperative fever, postoperative ambulation time, postoperative analgesic usage, postoperative hospital stay and complications of hysteroscopy group were significantly lower than that of laparotomy group group （P〈0.05）. Conclusion Endometrial ablation can reduce trauma, shorten operative time, reduce blood loss, shorten hospital stay and accelerate postoperative recover and reduce the incidence of complications. Hysteroscopic surgery is an effective and safer treatment methods.
出处
《西部医学》
2015年第5期733-735,共3页
Medical Journal of West China
基金
湖北省自然科学基金(2013CFB311)
