论文部分内容阅读
目的:比较肥胖患者经腹腔镜全子宫切除术(laparoscopic hysterectomy,LH)和经阴道全子宫切除术(vaginal hysterectomy,VH)的术后效果。方法:2010年2月—2015年2月选择体重指数≥28 kg/m2的肥胖患者320例。160例施行LH,160例施行VH。比较两组患者输卵管和卵巢切除数及比例、手术时间、失血量、血红蛋白变化、输血、中转开放手术率、术后并发症发生率、术后住院时间之间的差异。结果:两组一般情况无明显差异。LH组手术时间(93.8±36.9)min,与VH组(91.6±47.3)min类似(P=0.750);LH组失血量(150.4±67.6)m L,较VH组(213.2±73.2)m L低(P<0.001);LH组患者住院时间(5.8±2.6)d,较VH组(7.7±3.4)d短(P<0.001)。结论:肥胖患者的LH和VH治疗均安全、有效。在肥胖患者中,LH较VH有一定优势。但无论采取何种术式,肥胖均会导致术后并发症发生率升高。
Objective: To compare the postoperative effects of laparoscopic hysterectomy (LH) and vaginal hysterectomy (VH) in obese patients. Methods: From February 2010 to February 2015, 320 obese patients with body mass index ≥28 kg / m2 were selected. 160 cases of LH, 160 cases of VH. The number of tubal and ovariectomized patients and their proportions, operation time, blood loss, hemoglobin change, blood transfusion, transit open surgery rate, postoperative complication rate and postoperative hospital stay were compared between the two groups. Results: There was no significant difference between the two groups. The time of operation in LH group (93.8 ± 36.9) min was similar to that of VH group (91.6 ± 47.3) min (P = 0.750); the blood loss of LH group was (150.4 ± 67.6) m L lower than that of VH group (213.2 ± 73.2) m L (P <0.001). The length of hospital stay in LH group was (5.8 ± 2.6) days, shorter than that in VH group (7.7 ± 3.4) d (P <0.001). Conclusion: The treatment of LH and VH in obese patients is safe and effective. In obese patients, LH has some advantages over VH. However, no matter what kind of surgery, obesity will lead to an increased incidence of postoperative complications.