腹腔鏡下全子宮切除術的臨床效果研究

[摘要] 目的 探討腹腔鏡下全子宮切除術與開腹全子宮切除術的臨床效果。方法 該次研究方便選擇的78例患者均為該院2013年8月—2015年8月期間收治，按照隨機數字法將其分為兩組。接受傳統開腹全子宮切除術的39例患者歸入對照組，接受腹腔鏡下全子宮切除術的39例患者歸入觀察組。就兩組患者術中出血量、排氣時間、下床活動時間、住院時間等方面進行比較，治療結束后，觀察兩組患者并發癥的發生情況，并就治療前后患者生活質量改善情況展開分析。結果 觀察組患者書中出現量顯著低于對照組，且觀察組患者排氣、下床、住院等項目消耗時間也顯著低于對照組，差異有統計學意義（P<0.05）。治療結束后，觀察組患者術后并發癥總發生率7.69%顯著低于對照組17.95%，差異有統計學意義（P<0.05）。兩組患者治療后生活質量評分均有所改善，且觀察組顯著優于對照組，差異有統計學意義（P<0.05）。結論 腹腔鏡下全子宮切除術的損傷小、恢復快，患者預后佳，可有效避免術后并發癥，值得推廣。

[關鍵詞] 腹腔鏡；全子宮切除術；開腹；并發癥

[中圖分類號] R713.4 [文獻標識碼] A [文章編號] 1674-0742（2016）12（c）-0066-03

[Abstract] Objective To investigate the clinical effect of laparoscopic hysterectomy and open hysterectomy. Methods Convenient selection the 78 patients selected in this study were treated in our hospital from August 2013 to August 2015， according to the random number method is divided into two groups. 39 patients undergoing conventional hysterectomy were included in the control group and 39 patients undergoing laparoscopic hysterectomy were included in the observation group. The time of bleeding， the time of getting out of bed and the length of hospital stay were compared between the two groups. After the treatment， the complications of the two groups were observed， and the quality of life of the patients before and after treatment was analyzed. Results The amount of bleeding， the time of exhausting， the time of getting out of bed and the time of hospitalization were all significantly lower in the observation group than in the control group（P<0.05）. After treatment， the total incidence of postoperative complications in the observation group was significantly lower than the control group，（7.69% VS 17.95%）， the difference was statistically significant（P<0.05）. The quality of life scores of both groups improved after treatment， and the observation group was significantly better than the control group， the difference was statistically significant（P<0.05）. Conclusion Laparoscopic hysterectomy has the advantages of small injury， quick recovery， good prognosis， and can avoid postoperative complications.

[Key words] Laparoscopy； Total hysterectomy； Laparotomy； Complication

全子宮切除術是婦科臨床中常見的手術，多用于針對子宮腫瘤、子宮出血和附件病變等疾病的治療。傳統的全子宮切除術主要是采用開腹的形式將患者子宮完全切除，這種方法對腹腔情況復雜，腫瘤較大的患者比較實用，但手術創傷較大，術后恢復較慢且容易因多重因素影響出現感染、傷口不愈合、尿潴留等情況，患者預后不理想一直以來也是人們關注的焦點?！?br>