腹腔鏡下陰式子宮全切術(shù)與開腹子宮全切術(shù)的臨床對比分析

摘要：目的 研究分析腹腔鏡下陰式子宮全切術(shù)和開腹子宮全切術(shù)的臨床醫(yī)學(xué)治療價(jià)值。方法 隨機(jī)抽取2013年1月～2015年1月來我院治療子宮肌瘤患者100例，其中有50例患者是進(jìn)行的腹腔鏡下陰式子宮全切術(shù)，50例患者進(jìn)行的是傳統(tǒng)開腹子宮全切術(shù)，研究分析兩組手術(shù)所用時(shí)間、手術(shù)過程中出血量、肛門排氣時(shí)間、留置尿管時(shí)間、術(shù)后腹痛消失時(shí)間以及住院天數(shù)。結(jié)果 50例腹腔鏡下陰式子宮全切術(shù)的患者平均手術(shù)時(shí)間要比開腹子宮全切術(shù)患者的時(shí)間長，手術(shù)過程中出血量要少于開腹子宮全切術(shù)，除此之外，手術(shù)后肛門排氣時(shí)間、留置尿管時(shí)間、術(shù)后腹痛消失時(shí)間以及住院天數(shù)均要比開腹子宮全切術(shù)的時(shí)間短，具有明顯的統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 腹腔鏡下陰式子宮全切術(shù)要比開腹子宮全切術(shù)的治療效果好，值得在臨床醫(yī)學(xué)上大力推廣。

關(guān)鍵詞：腹腔鏡下陰式子宮全切術(shù)；開腹子宮全切術(shù)；臨床分析

Laparoscopic Uterine Yin Type Full Cut Method and Cut Open the Womb all Clinical Comparative Analysis

SONG Ping

（Chengdu Maria Wemen Children's Hospital，Chengdu 610051，Sichuan，China）

Abstract：Objective To study the analysis of laparoscopic uterine full cut method and Yin type open the womb all cut method of clinical therapeutic value. Methods Randomly between January 2013 and January 2013 to the hospital treatment of 100 patients with uterine fibroids， there are 50 cases is Yin type of laparoscopic uterine full cut method， 50 cases of uterus cut method， is a traditional laparotomy study used two groups of operation time， the bleeding， anal exhaust time， in the process of operation time， postoperative abdominal pain disappeared time placing a urinary catheter and hospitalization days. Results In 50 cases of laparoscopic Yin type patients with uterine full cut method of the average operation time than cut open the womb all were made a long time， blood loss during surgery to less than open the womb all cut method， in addition， anal exhaust time， after the operation time， postoperative abdominal pain disappeared time placing a urinary catheter and hospitalization days were uterus than laparotomy all cut short of time， has the obvious statistical significance （P<0.05）. Conclusion Laparoscopic Yin type full cut method than laparotomy and all the uterus cut method of the treatment effect is good， is worth promoting in clinical medicine.

Key words：All laparoscopic Yin type of uterus cut method； Open the womb all cut method； Clinical analysis

腹腔鏡輔助下陰式子宮全切術(shù)是近年來發(fā)展起來的一種微創(chuàng)手術(shù)，目前已經(jīng)逐漸的成為臨床婦科常用的手術(shù)方式。與此同時(shí)，伴隨著電視腹腔鏡手術(shù)的提倡以及手術(shù)醫(yī)師技能的不斷提高，腹腔鏡下陰式手術(shù)已經(jīng)被廣泛地應(yīng)用到子宮良性病變以及子宮非脫垂疾病的診斷治療中[1]，這也是醫(yī)生和患者首選的手術(shù)方法。本文對我院采用腹腔鏡下陰式手術(shù)和開腹子宮全切術(shù)治療子宮肌瘤患者進(jìn)行研究分析，具體研究報(bào)道如下。

1 資料與方法