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目的探讨开腹与腹腔镜辅助阴式子宫切除术的临床疗效。方法采用随机数字表法将81例行子宫切除术的子宫疾病患者按照手术方法的不同进行分组,对照组40例患者采用开腹子宫全切除手术治疗,观察组41例患者采用腹腔镜辅助阴式子宫全切除手术治疗。比较两组患者治疗后临床手术指标及术后并发症。结果 81例患者均采用全身麻醉,手术全部成功,且观察组无一例中转开腹子宫全切除术,中转剖腹率为0。观察组手术时间、术中出血量、术后排气时间及术后自主排尿时间均少于对照组(P<0.05);观察组并发症总发生率为4.88%,明显低于对照组的20.00%(P<0.05)。结论腹腔镜辅助阴式全子宫切除术治疗行子宫切除术的子宫疾病患者能够改善预后,降低了中转剖腹率及术后并发症的总发生率,提高了手术的安全性,值得临床推广使用。
Objective To investigate the clinical effect of laparotomy and laparoscopic assisted vaginal hysterectomy. Methods Eighty-one cases of uterine disease underwent hysterectomy were divided into different groups according to different surgical methods. Forty patients in the control group were treated with total hysterectomy. In the observation group, 41 cases were treated with laparoscopic-assisted vaginal Hysterectomy surgery. The clinical indexes and postoperative complications of the two groups were compared. Results All the 81 patients underwent general anesthesia. All the operations were successful. There was no case in the observation group who underwent total hysterectomy. The laparotomy rate was 0. The operation time, intraoperative blood loss, postoperative exhaust time and postoperative autonomic urination time in the observation group were less than those in the control group (P <0.05). The total incidence of complications in the observation group was 4.88%, which was significantly lower than that of the control group % (P <0.05). Conclusion Laparoscopic assisted vaginal hysterectomy for hysterectomy patients with uterine disease can improve the prognosis and reduce the laparotomy rate and the total incidence of postoperative complications and improve the safety of surgery, it is worth promoting the use of the clinic.