阴式附件手术与腹腔镜附件手术临床对照分析Clinical comparative analysis of vaginal adnexectomy and laparoscopic adnexectomy.
杨雯;宋磊;李立安;王虹;
摘要(Abstract)：
目的:比较阴式附件手术与腹腔镜附件手术的临床指标、并发症发生情况及卫生经济学指标。方法:回顾分析阴式附件手术92例的临床资料并与同期腹腔镜手术102例的手术时间、失血量、术后病率、并发症发生率及住院费用比较。结果:92例阴式附件手术均获成功。术中出血量、并发症、术后病率等与腹腔镜相比无统计学差异(P>0.05),手术时间、住院费用少于腹腔镜手术(P<0.05),术后白细胞计数低于腹腔镜手术(P<0.05)。结论:与腹腔镜比较,附件良性囊肿阴式手术是可行的,手术时间短,对患者全身状况、腹腔脏器干扰小,并发症发生率低且能节省手术费用。
关键词(KeyWords)： 良性卵巢囊肿;附件切除术,阴道式;手术适应证;并发症;卫生经济学
基金项目(Foundation): 首都医学发展基金资助课题(No:2003-3021)
作者(Author): 杨雯;宋磊;李立安;王虹;
Email:
DOI: 10.13283/j.cnki.xdfckjz.2008.04.009
参考文献(References)：
- [1]Ferrari MM,Mezzopane R,Bulfoni A,et al.Surgical treat-ment of ovarian dermoid cysts:a comparison between lapa-roscopic and vaginal removal[J].Eur J Obstet GynecolReprod Biol,2003,109:88-91
- [2]Sheth SS.Management of ovarian dermoids without lapa-roscopy or laparotomy[J].Eur J Obstet Gynecol ReprodBiol,2001,99:106-108
- [3]赵春艳,宋磊,李春东,等.保留子宫的阴式手术11例探讨[J].现代妇产科进展,2003,12:139
- [4]魏敏捷,刘蕊.经阴道手术和腹腔镜手术治疗卵巢囊肿的对比研究[J].中国全科医学,2006,9:801-802
- [5]王霞,李芳,张元叶.阴式与腹式卵巢囊肿切除术的临床效果比较[J].中国微创外科杂志,2007,7:312-315
- [6]Leblanc E.How to perform the vaginal adnexectomy at theend of a vaginal hysterectomy[J].Gynecol Obstet Fertil,2003,31:1054-1055
- [7]Pardi G,Carminati R,Ferrari MM,et al.Laparoscopicallyassisted vaginal removal of ovarian dermoid cysts[J].Ob-stet Gynecol,1995,85:129-132
- [8]Hidlebaugh DA.Cost and quality-of-life issues associatedwith different surgical therapies for the treatment of abnor-mal uterine bleeding[J].Obstet Gynecol Clin North Am,2000,27:451-465