【摘要】 目的 评价改良腹腔镜下子宫次全切除术(缝扎术LSH)和传统腹腔镜下子宫次全切除术(套扎术LSH)的临床效果,寻找更利于患者的手术方式。方法 回顾性分析两种术式(各50例)的手术时间,术中出血量,术后肛门排气时间,住院天数,术后并发症等。结果 缝扎术组(改良式LSH)50例,手术时间为(91.15±15.92)min,出血量为(45.65±3417)ml,术后肛门排气时间(20.87±2.24)h,住院天数(4.68±1.24)d,无一例并发症发生。套扎术组LSH50例,手术时间为(80.41±17.73)min,出血量为(44.07±32.18)mI,术后肛门排气时间(19.83±1.27)h,住院天数(4.87±1.27)d,并发症发生率为14%(7/50)。套扎术组术后并发症的发生率明显高于缝扎术组,而缝扎术组仅在手术时间上较套扎术组长(P<0.05),而在术中出血量、术后肛门排气时间、住院天数比较,差异无统计学意义(P>0.05)。结论 缝扎术LSH(改良式LSH)能使LSH的安全性,有效性及术后满意率得到明显改善,具有重要的临床意义和社会意义。更多还原

【Abstract】 Objective To evaluate the clinical efficacy of two operative patterns of laparoscopic subtotal hysterectomy(LSH),transfixion lsh and ligation LSH.Methods A retrospective analysis on 100 cases of LSH was carried out,including operating time,blood loss,anal exhaust time after operation,hospital stay time and cimplication.Results Transfixion LSH was performed in 50 cases.The operating time was(91.15 ± 15.92) min,blood loss was(45.65 ± 34.17) ml,anal exhaust time after operation was(20.87 ± 2.24) h,hospital stay time was(4.68 ± 1.24)d,complication rate 0.ligation LSH was conducted in 50 cases,with an operating time(80.41 ± 17.73) min,blood loss(44.07 ± 32.18) ml,anal exhaust time after operation(19.83 ± 1.27) h,hospital stay time(4.87 ± 1.27) d,complication rate 14%(7/50);complication rate in ligation LSH group was significantly higher than transfixion LSH group,however,there were no significantly difference between the two groups in blood loss,anal exhaust time after operation and hospital stay time(P>0.05),but only the operating time was longer in transfixion LSH group(P<0.05).Conclusions Transfixion LSH can obviously improve the security,alidity and postoperative satisfaction rate of LSH,and this operative pattern has important clinical and social meanings.更多还原