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目的:探究阴式子宫全切除术与腹腔镜辅助下阴式子宫切除术治疗子宫良性病变的临床效果。方法:选择2011年10月~2013年9月我院收治的子宫良性病变的患者120例,其中行腹腔镜辅助下阴式子宫切除术80例(研究组)和行阴式子全宫切除术40例(对照组),观察并分析两组的临床指标及手术并发症。结果:研究组住院费用明显高于对照组(P<0.05),手术时间、术中出血量及住院时间均低于对照组(P<0.05);研究组无邻近脏器损伤,对照组输尿管损伤2例(5.00%),研究组患者出现手术损伤率明显低于对照组,差异存在统计学差异(x2=3.968,P=0.046);对两组患者术后随访1年,两组患者均无出现再手术情况;两组患者术后阴道残端均愈合较好,未出现阴道残端漏,患者无大小便困难及其他不适。结论:腹腔镜辅助下阴式子宫切除术治疗子宫良性病变疗效优于阴式子宫全切术,其手术时间、术中出血量及住院时间均较低,创伤小,更有利于患者恢复健康,在临床上值得应用推广。
Objective: To investigate the clinical effect of vaginal hysterectomy and laparoscopic assisted vaginal hysterectomy in the treatment of benign uterine lesions. Methods: 120 patients with benign uterine lesions admitted to our hospital from October 2011 to September 2013 were selected. Among them, 80 underwent laparoscopic assisted vaginal hysterectomy (study group) and vaginal subtotal hysterectomy 40 cases (control group). The clinical indexes and complications of the two groups were observed and analyzed. Results: The hospitalization cost of the study group was significantly higher than that of the control group (P <0.05). The operation time, intraoperative blood loss and hospital stay were lower than those of the control group (P <0.05) 2 cases (5.00%). The incidence of surgical injury in the study group was significantly lower than that in the control group, the difference was statistically significant (x2 = 3.968, P = 0.046); two groups of patients were followed up for 1 year, Reoperation occurred; two groups of patients with postoperative vaginal stump healed better, there is no vaginal stump leakage, the patient has no difficulty in urinating and other discomfort. Conclusion: Laparoscopic assisted vaginal hysterectomy for the treatment of benign lesions of the uterus better than vaginal hysterectomy, the operation time, blood loss and hospitalization were lower, less trauma, more conducive to the recovery of patients, In clinical application is worth promoting.