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经腹子宫全切除术与腹腔镜下子宫全切除术治疗子宫疾病的 临床效果观察

徐 晶晶

摘要

目的:比较分析经腹子宫全切除术、腹腔镜下子宫全切除术用于子宫疾病治疗的效果。方法:2024.1-2024.12,选择100例子宫疾病手术治疗患者,均自愿进行子宫全切除术,50例经腹手术是经腹组,50例腹腔镜下手术是腹腔镜组,比较各组相关指标。结果:观察组手术时间、术后肛门排气时间与住院治疗时间均短于对照组(P<0.05),观察组术中出血量少于对照组(P<0.05);观察组术后疼痛评分低于对照组(P<0.05);观察组术后并发症率小于对照组(P<0.05)。结论:经腹子宫全切除术、腹腔镜下子宫全切除术均可在子宫疾病治疗中发挥显著作用,但腹腔镜下手术近期疗效理想、术后疼痛症状轻微、术后并发症率小,临床应用价值显著。

关键词

经腹子宫全切除术;腹腔镜下子宫全切除术;子宫疾病;术后疼痛评分;术后并发症率;手术时间

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参考

[1]LERAY,HELENE,ANGELES,MARTINA AIDA,DAIX,MANON,et al.How to avoid peritoneal tumor spillage during total

abdominal hysterectomy in uterine cancers with cervical invasion[J].International journal of gynecological cancer:official journal of the

International Gynecological Cancer Society,2021,31(10):1382-1383.

[2]DALLAS,KAI,TAICH,LIOR,KUHLMANN,PAIGE,et al.Supracervical Hysterectomy Is Protective against Mesh Complications

after Minimally Invasive Abdominal Sacrocolpopexy:A Population-Based Cohort Study of 12,189 Patients[J].The Journal of Urology,

2022,207(3):669-675.

[3]胡力,梁锐根,陈晓颖.腹腔镜与开腹全子宫切除术治疗子宫肌瘤对患者盆底肌功能及生活质量的影响[J].实用妇科内分泌

电子杂志,2021,8(11):26-29.

[4]KUKRER,SADIK,ARLIER,SEFA,DILEK,OKAN,et al.Diagnostic accuracy of magnetic resonance imaging to predict peripartum

hysterectomy and neonatal mortality in total placenta previa:A retrospective cohort study[J].European Journal of Obstetrics,Gynecology

and Reproductive Biology:An International Journal,2024,301251-257.

[5]NASSIF,JOSEPH,YADAV,GHANSHYAM S.,OREJUELA,FRANCISCO J.,et al.Rate of Mesh Erosion After Sacrocolpopexy

With Concurrent Supracervical Compared With Total Hysterectomy[J].Obstetrics and Gynecology:Journal of the American College of

Obstetricians and Gynecologists,2022,140(3):412-420.

[6]ALFAHMY,ANOOD,MAHRAN,AMR,CONROY,BRITT,et al.Abdominal and vaginal pelvic support with concomitant

hysterectomy for uterovaginal pelvic prolapse:a comparative systematic review and meta-analysis[J].International urogynecology journal

and pelvic floor dysfunction,2021,32(8):2021-2031.

[7]陈金玲,冯元元,饶珺.经阴道自然腔道内镜与经脐单孔腹腔镜在妇科良性疾病全子宫切除术中应用效果的对比分析[J].四

川生理科学杂志,2025,47(1):95-97,175.

[8]陈义波,龙玲,张静,等.常规器械下经脐单孔腹腔镜全子宫切除术治疗子宫良性病变的疗效观察[J].中国计划生育和妇产

科,2022,14(12):91-95,113.

[9]王春春,马德红.腹腔镜辅助下阴式全子宫切除术与经阴道全子宫切除术治疗子宫肌瘤的临床疗效及并发症观察[J].贵州医

药,2022,46(3):449-450.

[10]李红,王莉.腹腔镜下子宫肌瘤剔除术与全子宫切除术治疗围绝经期子宫肌瘤对患者卵巢功能的影响研究[J].贵州医药,

2021,45(10):1554-1555.

[11]陈义波,郭海春,朱辉玲,等.常规器械经脐单孔三通道法腹腔镜与传统腹腔镜下全子宫切除术的对比研究[J].湖南师范大

学学报(医学版),2021,18(2):123-126.

[12]尹相力,钟宝玲,薛柳恋,等.经脐单孔腹腔镜下全子宫切除术与经阴道单孔腹腔镜下全子宫切除术在无生育要求子宫肌

瘤患者中的应用效果比较[J].中国医学创新,2021,18(21):5-9.

[13]王精华,冯宪凌,王婷,等.腹腔镜下保留盆腔自主神经功能的广泛性子宫切除术治疗早期宫颈癌的效果及对患者膀胱和

直肠功能的影响[J].中国实用医刊,2023,50(14):1-4.

[14]郑春艳,张超,张顺仓,等.经阴道全子宫切除术与腹腔镜下全子宫切除术治疗子宫肌瘤的临床效果对比分析[J].中国妇幼

保健,2023,38(15):2898-2903.

[15]韩可,张运磊.腹腔镜下全子宫切除术对良性病变患者围术期指标、凝血功能及卵巢储备指标影响[J].中国计划生育学杂志,

2023,31(7):1532-1536


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