两种妇科腹腔镜暴露子宫直肠窝技术方法的对照研究

颜小红，黄润瀚

（南京军区福州总医院，福建福州，350025）

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摘要：

目的 探讨两种妇科腹腔镜暴露子宫直肠窝技术方法的安全性、有效性和实用性。方法 随机将接受腹腔镜手术需要暴露子宫直肠窝的手术患者100例分为两组。改良组患者采用改良的悬吊方法，即先固定腹壁再固定子宫；传统组患者采用传统的悬吊方法，即先固定子宫再固定腹壁，分析两种方法的并发症发生率和术者学习曲线。结果 两组悬吊成功率比较，差异无统计学意义（P=0.098），改良组的手术时间和并发症发生率优于传统组（P<0.05）。学习曲线提示术者掌握改良方法的时间短于传统方法。结论 改良的悬吊方法可有效、快捷地建立子宫直肠窝视野，使用此方法培训初学者更安全。

关键词：妇科手术；腹腔镜检查；悬吊术

中图分类号：R711.6文献标志码：A文章编号：2096-1413(2017)04-0129-02

A comparative study of two methods of gynecological laparoscopic to expose uterine rectal fossa

YAN Xiao-hong, HUANG Run-han

(Fuzhou General Hospital of Nanjing Military Region, Fuzhou 350025, China)

ABSTRACT: Objective To explore the safety, validity and practicability of the two methods of gynecological laparoscopic to expose uterine rectal fossa. Methods One hundred patients who received laparoscopic surgery required to expose the uterus rectal fossa were randomly divided into two groups. The modified group used modified suspension method, that is fixed the abdominal wall as the first step, and then fixed the uterus. The traditional group used the traditional suspension method, that is fixed the uterus as the first step and then fixed the abdominal wall. The incidence rate of complications and the learning curve of the two methods were analyzed. Results There was no statistically significant difference on success rate of suspension between the two groups (P=0.098). The operation time and the incidence rate of complications of the modified group were better than those of the traditional group (P<0.05). The learning curve showed the time of surgeon to master the modified method was shorter than the traditional method. Conclusion Modified suspension method can establish uterine rectal fossa field effectively and fast, which is safe to training beginners.

KEYWORDS: gynecological operation; laparoscopy; suspension method

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