摘要
目的 评价腹腔镜筋膜内子宫切除术的临床价值。 方法 回顾性分析 37例腹腔镜筋膜内子宫切除术和 4 5例开腹筋膜内子宫切除术 ,就手术时间、术中出血量、肛门恢复排气时间、术后病率、术后并发症进行对比分析。 结果 两组手术均获成功 ,无严重并发症。手术时间腹腔镜组 (15 8min± 36 7min)长于开腹组 (99min± 2 4 3min) (t=8 714 ,P <0 0 1)。术中出血量腹腔镜组 (16 4ml± 5 8ml)多于开腹组 (12 6ml± 2 8ml) (t=3 883,P <0 0 1)。术后肛门恢复排气时间腹腔镜组 (2 6 4h± 6 3h)短于开腹组 (31h± 4 7h) (t=- 3 784 ,P <0 0 1)。术后病率腹腔镜组 (4 37)低于开腹组 (17 4 5 ) (χ2 =6 4 0 0 ,P <0 0 5 )。 结论 腹腔镜筋膜内子宫切除术术后恢复快 ,术后病率低 ,但与开腹组相比手术时间长 ,术中出血多。随着手术技能的提高、经验的积累 ,可以克服手术时间和出血量不稳定的因素。
Objective To evaluate the clinical significancy of laparoscopic intrafascial hysterectomy. Methods We reviewed 37 cases of laparoscopic intrafascial hysterectomy and 45 cases of open intrafascial hysterectomy. A controlled study on operative time, blood loss, time to first flatus, postoperative morbidity and complications was made. Results All operations in two groups were successfully completed, and no severe complications were seen. In laparoscopic group and open group, the operative time, blood loss, time to first flatus, and postoperative morbidity were (158±36.7) min and (99±24.3) min (t=8.714, P<0.01), (164±58) ml and (126±28) ml (t=3.883, P<0.01), (26.4±6.3) hr and (31±4.7) hr (t=-3.784, P<0.01), 4/37 and 17/45 (χ2=6.400, P<0.05), respectively. Conclusions Laparoscopic intrafascial hysterectomy offers more rapid recovery and lower postoperative morbidity but has longer operative time and more blood loss compared with the open operation. With the improvement of surgical techniques and the accumulation of experience, this procedure is awaiting the further development.
出处
《中国微创外科杂志》
CSCD
2003年第4期319-320,共2页
Chinese Journal of Minimally Invasive Surgery
