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目的研究腹腔镜辅助阴式子宫切除术并发症发生情况。方法随机选取拟进行腹腔镜辅助阴式子宫切除术患者34例作为研究组,选取同期进行开腹子宫切除术患者32例作为对照组进行对比,比较两组并发症发生情况。结果对照组32例患者中发现子宫内膜癌1例,泌尿道损伤1例,需行输血治疗2例。研究组并发症发生率为41.18%,而对照组为12.5%,两组比较差异有统计学意义(P<0.05)。结论腹腔镜辅助阴式子宫切除术的并发症包括脏器损伤及出血,主要是由于术中处理、病例选择、肌瘤体积、盆腔严重粘连有关。腹腔镜辅助阴式子宫切除术亦可发现恶性肿瘤,发现率为2.9%。
Objective To study the complications of laparoscopic assisted vaginal hysterectomy. Methods Totally 34 patients who underwent laparoscopic assisted vaginal hysterectomy were randomly selected as the study group. 32 patients undergoing open abdominal hysterectomy were selected as the control group for comparison. The incidence of complications was compared between the two groups. Results In the control group, 1 case of endometrial carcinoma and 1 case of urinary tract injury were found in 32 patients, and 2 cases needed blood transfusion. The incidence of complications was 41.18% in the study group and 12.5% in the control group, with significant difference between the two groups (P <0.05). Conclusions The complications of laparoscopic assisted vaginal hysterectomy include organ injury and hemorrhage, which are mainly due to intraoperative management, case selection, fibroid volume, and severe pelvic adhesions. Laparoscopic assisted vaginal hysterectomy also found malignant tumors, the discovery rate of 2.9%.