腹腔镜下全子宫切除术临床疗效分析.docx

腹腔镜下全子宫切除术临床疗效分析[摘要]目的：经过比较经腹全子宫切除术和腹腔镜下全子宫切除术的临床效果探讨腹腔镜下全子宫切除术的临床应用疗效。方法：选择2007年3月～2009年11月经腹全子宫切除术100例腹腔镜下全子宫切除术100例对两组术中、术后及恢复情况进行比较。结果：经过比较两组的手术时间、术中出血量、术后肛门排气时间、术后并发症的发生率后结果显示两组术式的手术时间比较差异无统计学意义（P＞0.05）而腹腔镜组的术中出血量、术后肛门排气时间以及术后并发症发生率明显优于腹式组差异有统计学意义（P＜0.05）腹腔镜下全子宫切除术的临床疗效明显优于经腹全子宫切除术。结论：腹腔镜下全子宫切除术是一种疗效明显、安全可靠的手术方式值得在临床广泛开展。[关键词]经腹全子宫切除术；腹腔镜下全子宫切除术；临床疗效[中图分类号]R713.42[文献标识码]Ａ[文章编号]1673-7210（2011）03（c）-040-02ClinicalefficacyofcompletehysterectomyunderlaparoscopeYEQilingDepartmentofGynecologytheFirstPeople′sHospitalofHuizhouCityinGuangdongProvinceHuizhou516003China[Abstract]Objective:Todiscusstheclinicalapplicationefficacyofcompletehysterectomyunderlaparoscopethroughcomparingclinicaleffectsofabdominaltotalhysterectomyandcompletehysterectomyunderlaparoscope.Methods:100casesofabdominaltotalhysterectomyand100casesofcompletehysterectomyunderlaparoscopefromMarch2007toNovember2009wereselectedandintra-operativepostoperativeandrecoveryconditionsofthetwogroupswerecompared.Results:theresultsshowedthattheoperationtimecomparisonofoperationmethodsinthetwogroupshadnoprominentdifference（P＞0.05）whiletheintra-operativebleedingamountpostoperativeanalexhausttimeandpostoperativecomplicationincidencerateofthelaparoscopegroupweresignificantlybetterthanthoseofthegroupwithabdominaltotalhysterectomythroughcomparingtheoperativetimeintra-operativebloodlosspostoperativeanalexhausttimeandtheincidenceratofpostoperativecomplicationsofthetwogroupsthedifferencewasstatisticallysignificant(P[Keywords]Abdominaltotalhysterectomy;Completehysterectomyunderlaparoscope;Clinicalefficacy近年来随着科学技术的不断发展微创技术被应用到妇科手术领域腹腔镜下全子宫切除术（totallaparoscopichysterectomyTLH）因创伤小、手术时间短、术中出血量少、痛苦少、术后恢复快的优点受到患者和妇产科医生的欢迎。本文随机选择2007年3月～2009年11月在我科做全子宫切除术的200例患者通过与传统经典的经腹全子宫切除术比较探讨腹腔镜下全子宫切除术的临床疗效现报道如下：