腹腔镜下子宫次全切除术治疗子宫肌瘤的临床应用

摘要

Objective: To evaluate the clinical value of laparoscopic subtotal hysterectomy (LSH) on u-terine myoma. Method: A retrospective cohort study was conduted using existing data on 83 cases of LSH, and 65 cases of ASH were performed on patients with uterine myoma from Oct. 2005 to Oct. 2010 in our hospital. The operation time, blood loss , fart time , the use of the PCA pumps, hospital stay were compared between the two groups. Result: No significant difference was found in the average operating time between the LSH group and ASH group ( P > 0.05 ). While the LSH group had advantages of less blood loss, less use of the PCA pumps , shorter hospital stay and fart time than the ASH group (P<0.01 ). No major complication occurred in both groups. Both of the groups had one case of CIN in two years after the operations. Conclusion: LSH is an effective and safe procedure for the treatment of uterine myoma.%目的:探讨腹腔镜子宫次全切除术(laparoscopic subtotal hysterectomy,LSH)治疗子宫肌瘤的临床应用价值.方法:对2005年10月至2010年10月因子宫肌瘤在我院行腹腔镜下子宫次全切除术或腹式子宫次全切除术(abdominal subtotal hysterectomy,ASH)患者作回顾性分析,观察组为腹腔镜下子宫次全切除术患者83例,对照组为同期行腹式子宫次全切除术患者65例,比较两组患者手术时间、术中出血量、肛门排气时间、术后镇痛泵使用率、术后住院时间、术中脏器损伤情况.结果:两组患者手术时间无显著差异(P＞0.05),研究组术中出血量较少、术后镇痛泵使用率较低,术后肛门排气时间较早,术后住院时间较短,与对照组相比较均有统计学差异(P＜0.01),两组术中均无脏器损伤,术后2年内各有1例宫颈CIN病变.结论:腹腔镜下子宫次全切除术是一种安全、可靠的手术方式,适用于子宫肌瘤的手术治疗.