| 王宇华 杨宾烈 张爱 张云珠 徐泠琳.改良腹腔镜手术治疗子宫腺肌症的可行性及安全性研究[J].,2016,16(13):2527-2529 |
| 改良腹腔镜手术治疗子宫腺肌症的可行性及安全性研究 |
| Feasibility and Safety of Modified Laparoscopic Surgery in the Treatment ofAdenomyosis |
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| DOI： |
| 中文关键词: 子宫腺肌症 腹腔镜 子宫体楔形切除术 全子宫切除术 |
| 英文关键词: Adenomyosis Laparoscopy Uterus wedge resection Hysterectomy |
| 基金项目:浦东新区卫生系统领先人才培养计划(PWRI2010-04) |
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| 中文摘要: |
| 目的：探讨改良腹腔镜手术治疗子宫腺肌症的可行性及安全性。方法：84例子宫腺肌症患者，采用方便抽样方法选取接受改
良腹腔镜子宫体楔形切除术的40 例患者作为研究组，接受传统腹腔镜全子宫切除术的44 例患者作为对照组，比较两组手术情
况及术后康复情况。结果：两组术中出血量、手术时间、导尿管留置时间、引流管留置时间、肛门恢复排气时间比较差异无统计学
意义（P>0.05)；术后研究组性生活评分、生活质量评分高于对照组（P<0.05)，痛经程度评与对照组比较差异无统计学意义（P>0.
05)；研究组压力性尿失禁、阴道顶端脱垂、直肠膨出发生率低于对照组（P<0.05)。结论：改良腹腔镜手术治疗子宫腺肌症的治疗效
果与传统腹腔镜手术相当，但患者性生活及生活质量较高，且对盆底支撑功能影响较小。 |
| 英文摘要: |
| Objective:To investigate the feasibility and safety of improved laparoscopic surgery for adenomyosis of uterus.Methods:Among the 84 cases of uterine adenomyosis patients admitted in hospital, we selected by convenience sampling method 40 patients who
accepted the modified laparoscopic uterine wedge resection as a study group, and 44 patients who accepted conventional laparoscopic
hysterectomy surgery as the control group. We compared the surgery and postoperative rehabilitation situation between the two groups.Results:There were no statistical difference in blood loss during operation, operative time, catheterization time, drainage tube indwelling
time, anal exhaust recovery time between the two groups (P>0.05). After operation, the scores of sexual life and life quality of the study
group were higher than those of the control group (P<0.05). The dysmenorrhea assessment score showed no significant difference between
the two groups (P>0.05). In study group, the incidences of stress urinary incontinence, top vaginal prolapsed and rectal prolapse
were lower than in control group (P<0.05).Conclusion:The modified laparoscopic surgery had relatively equal curative effect for uterine
adenomyosis with the conventional laparoscopic surgery, but a better sexual life and higher quality of life, and less impact on the pelvic
floor support functions for patients. |
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