经腹腔镜行大子宫全切除术的临床分析.doc

精品论文 参考文献 经腹腔镜行大子宫全切除术的临床分析 江梅 　　(内江市第一人民医院妇产科 四川内江 641000) 　　【摘要】目的:探讨经腹腔镜行大子宫全切除术的临床疗效。方法：以我院妇产科2011年1月～2012年12月收治的大子宫(子宫gt;孕12周)行子宫全切术的患者42例为研究组，以同期收治的大子宫行子宫全切术的患者41例为对照组。研究组给予腹腔镜全子宫切除术，对照组给予开腹全子宫切除术，比较2组临床疗效。结果：研究组手术时间、术中出血量、术后排气时间及术后住院时间较对照组少，经过比较，差异具有统计学意义。2组术后并发症的发生率经过比较，差异没有统计学意义。结论：针对腹腔镜大子宫切除术，只要严格把握适应症，术中仔细解剖，提高手术技巧，合理应用手术器械，就能充分发挥腹腔镜的优势，取得满意临床疗效。 　　【关键词】腹腔镜全子宫切除术 开腹全子宫切除术 大子宫 　　【中图分类号】R713 【文献标识码】A 【文章编号】2095-1752（2014）17-0064-02 　　Clinical analysis of the effect of laparoscopical total hysterectomy for large uterus 　　Jiang Mein, Department of gynaecology and obstetrics，The No.1 Peoplersquo;s Hospital of Neijiang, Neijiang Sichuan 641000,China 　　【Abstract】Objective:To explore the clinical effect of laparoscopical total hysterectomy for large uterus.Method:42 cases of large uterus(the volue of uterus was larger than 12 weeks) were the study group from January in 2011 to December in 2012.41 cases of the same disease were the control group at the same time.The study group was gave laparoscopic total hysterectomy.The control was gave total abdominal hysterectomy.To compare the clinical effect between 2 groups.Result:The operative time,intraoperatve blood,postopererative time of anal exhaust and postopererative time of staying in hospital in the study group was shorter than that in the control group.The difference was all statistically significant.The difference of incidence rate of postoperative complications had no statistically significant in 2 groups.Conclusion:We must grasp the strict indications,dissect clearly in operation,improve intraoperative skills,and rationally apply surgical instruments.It can fully exert the the advantages of laparoscopy and obtain satisfied clinical efficacy. 　　【Key words】laparoscopic total hysterectomy total abdominal hysterectomy large uterus 　　全子宫切除术是针对子宫良性病变的常用手术方式，对于子宫gt;孕12周的患者，由于子宫较大，临床上多采用经腹或者经阴道切除。随着腹腔镜技术及设备的不断发展，妇科医师也开始用腹腔镜切除子宫ge;12孕周的患者。腹腔镜手术作为一种新的手术