摘要
目的探讨改良腹腔镜下子宫肌瘤剔除术手术难度评分系统(Difficulty Degree Index,DDI)对子宫肌瘤剔除术路径选择的指导意义。【方法】对182例确诊为子宫肌瘤并行腹腔镜下子宫肌瘤剔除术的患者进行回顾性调查研究,应用改良DDI进行评分,综合考虑肌瘤的数目、大小、部位、合并症及术者的手术技巧对手术效果的影响。【结果】改良DDI量表与DDI量表具有较好的相关性;肌瘤与肌壁关系、肌瘤大小及术者的手术技巧与改良DDI评分呈正相关关系;随着改良DDI分值的增加,手术时间延长,出血量增加,但血红蛋白下降值及术后恢复时间并未体现出差异。【结论】改良DDI评分方法对子宫肌瘤剔除术的手术路径选择具有更好的指导意义。
To Discuss the significance of improved difficulty degree index in the laparoscopic hyste-romyomectomy path selection. [ Methods ] A retrospective survey was conducted in 182 patients who were diagnosed as hysteromyoma and undertook laparoscopic hysteromyomectomy, and used improved DDI score to analyze the effects of the surgical operation skills on the surgical results by fully considering to amount, size, location and complications of the myomas. [ Results ] Improved DDI scale has good correlation with the original DDI scale ; improved DDI score is positively correlated with the myoma＇s location, size and the surgical ：skills; as the DDI score increased, the operation time was extended and the amount of bleeding was increased, but the decreased value of the hemoglobin and postoperative recovery time did not reflect the differences [ Conclusions] Improved DDI score has significance in the laparoscopic hysterectomy path selection.
出处
《妇产与遗传（电子版）》
2012年第4期27-31,共5页
Obstetrics-Gynecology and Genetics (Electronic Edition)
