腹腔镜下全子宫切除术的临床疗效分析

doi:10.3877/cma.j.issn.1673-5250.2012.06.025

中华妇幼临床医学杂志(电子版) ›› 2012, Vol. 08 ›› Issue (06) : 771 -774. doi: 10.3877/cma.j.issn.1673-5250.2012.06.025

所属专题：文献；

短篇论著

腹腔镜下全子宫切除术的临床疗效分析

季兰萍¹^,^*(

), 王建彩¹, 徐阿梅¹, 薛琦¹

^1. 224700　江苏盐城，江苏盐城建湖县人民医院

收稿日期:2012-08-11 修回日期:2012-11-01 出版日期:2012-12-01
通信作者: 季兰萍

Received:2012-08-11 Revised:2012-11-01 Published:2012-12-01

全文 ( ) 下载PDF ( ) 导出引用

表1 两组患者的一般资比较(±s)

Table 1 Comparison of general information between two groups (±s)

组别	n	年龄(岁)	子宫大小(孕周)	手术适应证[n(%)]
组别	n	年龄(岁)	子宫大小(孕周)	子宫肌瘤	子宫腺肌症	子宫腺肌症合并子宫肌瘤
LTH组	30	45.37±3.33	11.33±1.92	19(63.3)	6(20.0)	5(16.6)
TAH组	30	45.30±3.50	11.60±2.95	17(56.7)	8(26.7)	5(16.7)
P	?	>0.05	<0.05	>0.05
t/χ²	?	t＝1.03	t＝2.53	χ²＝1.18

表1 两组患者的一般资比较(±s)

Table 1 Comparison of general information between two groups (±s)

组别	n	年龄(岁)	子宫大小(孕周)	手术适应证[n(%)]
组别	n	年龄(岁)	子宫大小(孕周)	子宫肌瘤	子宫腺肌症	子宫腺肌症合并子宫肌瘤
LTH组	30	45.37±3.33	11.33±1.92	19(63.3)	6(20.0)	5(16.6)
TAH组	30	45.30±3.50	11.60±2.95	17(56.7)	8(26.7)	5(16.7)
P	?	>0.05	<0.05	>0.05
t/χ²	?	t＝1.03	t＝2.53	χ²＝1.18

表2 两组患者术中情况比较(±s)

Table 2 Comparison of information during operation between two groups (±s)

组别	n	手术时间(min)	术中出血量(mL)
LTH组	30	126.70±29.96	28.90±5.28
TAH组	30	80.83±16.09	77.00±46.10
P	?	<0.05	<0.05
t	?	－2.43	6.91

表2 两组患者术中情况比较(±s)

Table 2 Comparison of information during operation between two groups (±s)

组别	n	手术时间(min)	术中出血量(mL)
LTH组	30	126.70±29.96	28.90±5.28
TAH组	30	80.83±16.09	77.00±46.10
P	?	<0.05	<0.05
t	?	－2.43	6.91

表3 两组白细胞计数、中性粒细胞计数、血红蛋白含量比较(±s)

Table 3 Comparison of white blood cell count, granulocyte count and hemoglobin level before and after the operation between two groups (±s)

项目		LTH组(n＝30)	TAH组(n＝30)	P	t
WBC计数(×10⁹)		?	?	?	?
?	术前	5.13±1.41	5.91±1.89	>0.05	0.96
?	术后第1天	8.15±2.39	9.24±2.27	>0.05	－1.05
?	P	>0.05	>0.05	?	?
中性粒细胞计数(×10⁹)		?	?	?	?
?	术前	3.20±1.13	3.79±1.64	>0.05	－0.94
?	术后第1天	6.22±2.30	7.32±1.98	>0.05	－1.14
?	P	>0.05	>0.05	?	?
Hb水平(g/L)		?	?	?	?
?	术前	124.93±10.10	121.93±10.89	>0.05	1.12
?	术后第1天	116.30±9.79	106.98±12.49	<0.05	1.58
?	P	<0.05	<0.05	?	?

表3 两组白细胞计数、中性粒细胞计数、血红蛋白含量比较(±s)

Table 3 Comparison of white blood cell count, granulocyte count and hemoglobin level before and after the operation between two groups (±s)

项目		LTH组(n＝30)	TAH组(n＝30)	P	t
WBC计数(×10⁹)		?	?	?	?
?	术前	5.13±1.41	5.91±1.89	>0.05	0.96
?	术后第1天	8.15±2.39	9.24±2.27	>0.05	－1.05
?	P	>0.05	>0.05	?	?
中性粒细胞计数(×10⁹)		?	?	?	?
?	术前	3.20±1.13	3.79±1.64	>0.05	－0.94
?	术后第1天	6.22±2.30	7.32±1.98	>0.05	－1.14
?	P	>0.05	>0.05	?	?
Hb水平(g/L)		?	?	?	?
?	术前	124.93±10.10	121.93±10.89	>0.05	1.12
?	术后第1天	116.30±9.79	106.98±12.49	<0.05	1.58
?	P	<0.05	<0.05	?	?

表4 两组术后情况比较(±s)

Table 4 Comparison of post－operation situation between two groups (±s)

组别	n	术后排气时间(h)	术后3 d最高体温(℃)	术后发热[n(%)]	术后并发症[n(%)]	术后住院时间(d)
LTH组	30	21.76±3.42	37.72±0.29	25(83.33)	1(3.33)	5.17±1.23
ATH组	30	32.57±4.04	37.71±0.32	25(83.33)	1(3.33)	5.63±0.96
P	?	<0.05	>0.05	>0.05	>0.05	>0.05
t/χ²	?	t＝－2.75	t＝1.02	χ²＝3.49	χ²＝3.56	t＝－1.28

表4 两组术后情况比较(±s)

Table 4 Comparison of post－operation situation between two groups (±s)

组别	n	术后排气时间(h)	术后3 d最高体温(℃)	术后发热[n(%)]	术后并发症[n(%)]	术后住院时间(d)
LTH组	30	21.76±3.42	37.72±0.29	25(83.33)	1(3.33)	5.17±1.23
ATH组	30	32.57±4.04	37.71±0.32	25(83.33)	1(3.33)	5.63±0.96
P	?	<0.05	>0.05	>0.05	>0.05	>0.05
t/χ²	?	t＝－2.75	t＝1.02	χ²＝3.49	χ²＝3.56	t＝－1.28

[1]	Leng JH, Wang YY. Dispute in the indication and method of gynecologic mininvasive surgery[J]. Chin J Pract Gynecol Obstet, 2007, 23(8):580-581.
[2]	Liu Y. Research development of gynecologic microtrauma operation[J]. Chin J Pract Gynecol Obstet, 2007, 23(1):15-16.
[3]	Reich H, DeCaprio J, McGlynn F. Laparoscopic hysterectomy[J]. J Gynecol Surg, 1989, 5:213.
[4]	Ling B, Sun M. The use of the ultrasonic scalpel combining bipolar coagulation in laparoscopic hysterectomy[J]. Anhui Med J, 2004, 25(2):95-96.
[5]	Yang XH. Clinical observation of intestinal peristalsis after gynecological surgery treated by self Shun Qi soup[J]. J Clin Med Pract, 2011, 15(23):139-141.
[6]	Jakeways MS, Mitchell V, Hashim IA, et al. Metabolic and inflammatory responses after open or laparoscopic cholecystectomy[J]. Br J Surg, 1994, 81(1):127-131.
[7]	Xiao WL, Peng GH, Li C. Comparison of the clinical effects between laparoscopic hysterectomy and transabdominal hysterectomy[J]. Chin J Mod Operative Surg, 2011, 15(4):291-293.
[8]	Peng YP, Qiu YH. Surgical Stress and immunosuppression[J]. Prog Physiol Sci, 2006, 37(1):31-36.
[9]	Xiao BM. A retrospective study of hysterectomy under laparoscope for adenomyosis[J]. China Mod Doctor, 2010, 48(14):142-143.
[10]	Dong XL. Comparison of curative effects between laparoscopic total hysterectomy and total abdominal hysterectomy[J]. Health, 2011, 7:83.
[11]	Qu LP. Contrastive study on classic intrafascial supracervical hysterectomy and total abdominal, hysterectomy[J]. Guide China Med, 2011, 9(17):39-40.
[12]	Smith LH, Waetjen LE, Paik CK, et al. Trends in the safety of inpatient hysterectomy for benign conditions in California, 1991-2004[J]. Obstet Gynecol, 2008, 112(3):553-561.
[13]	Johnson N, Barlow D, Lethaby A, et al. Methods of hysterectomy: Systematic review and meta-analysis of randomised controlled trials[J]. BMJ, 2005, 330(7506):1478.
[14]	Campbell ES, Xiao H, Smith MK. Types of hysterectomy. Comparison of characteristics, hospital costs, utilization and outcomes[J]. J Reprod Med, 2003, 48(12):943-949.
[15]	Zhao J, Tan XJ, Lang JH, et al. Complications of hysterectomy: Analysis of 162 cases[J]. National Med J China, 2009, 89(41):2931-2933.
[16]	Li GY, Shang HL, Chen LS. Analysis of operative patterns of 2272 laparoscopic hysterectomies[J]. 2005, 40(3):168-170.
[17]	Jiao L, Cao BL, Zhang NY, et al. Clinical analysis of 260 cases by laparoscopic total hysterectomy[J]. Med Recapitul, 2009, 15(7):1105-1106.
[18]	Zhou HJ, Wang Q, Liu SL. Short and long term complications of hysterectomy: Analysis of 110 cases[J]. China Pract Med, 2011, 6(9):59-60.

No related articles found!

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容