摘要
目的:对比开腹手术与腹腔镜下子宫全切除术对患者术后恢复情况的影响。方法:2016年8月至2017年9月选择75例在本院行全子宫切除术的病患,根据治疗方案不同分两组,其中对照组(n=37)行开腹全子宫切除术,而研究组(n=38)则行腹腔镜全子宫切除术,分析两组术中、术后恢复状况。结果:研究组的术中出血量(22.37±8.09)mL、手术时间(88.84±9.08)min,少于对照组的患者(P<0.05);研究组的术后首次肛门排气时间(20.49±3.03)h、首次下床时间(28.51±5.89)h、抗生素使用时间(2.84±0.63)d、住院时间(5.03±1.96)d,均较对照组明显缩短(P<0.05);研究组术后并发症发生几率为2.63%,明显低于对照组的16.22%(P<0.05)。结论:与开腹手术相比,腹腔镜下子宫全切除术具有术中出血量少、手术时间短、术后胃肠功能恢复快、并发症少等优点。
Objective：To compare the effects of laparotomy and laparoscopic hysterectomy on postoperative recovery. Methods： From August 2016 to September 2017,75 cases of hysterectomy patients divided into 2 groups according to the different treat-ment,the control group（n=37） was given abdominal hysterectomy,while the study group（n=38） was given laparoscopic hysterectomy. The postoperative recovery of the two groups was compared. Results： The amount of intraoperative bleeding （22. 37 ± 8. 09）mL and operation time （88. 84 ± 9. 08）min in the study group, which were less than the control group（P 〈 0. 05）. In the study group,postoperative anal exhaust time was （20. 49 ± 3. 03）h, the first time to get out of bed （28. 51 ± 5. 89）h, the time of antibiotic use （2. 84 ± 0. 63） d, and the hospitalization time （5. 03 ± 1. 96） d, which was significantly shorter than the control group（P 〈 0. 05）. The incidence of postoperative complications in the study group was 2. 63% ,which was lower than control group（16. 22%）. Conclusion：Compared with laparotomy, laparoscopic total hysterectomy has the advantages of less in-traoperative blood loss , shorter operative time, faster recovery of gastrointestinal function and fewer complications. It is worth popularizing and applying.
作者
熊华
Xiong Hua(Bazhou Red Cross Hualong Hospital, Bazhong, Sichuan 63660)
出处
《中外女性健康研究》
2018年第7期27-28,共2页
Women＇s Health Research
