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目的探讨腹腔镜辅助阴式子宫全切除术(LAVH)治疗巨大子宫肌瘤患者的临床疗效。方法选取2014年2月至2015年2月本溪市中心医院收治的100例巨大子宫肌瘤患者作为研究对象,按随机数字表法将患者分为观察组和对照组,各50例。对照组患者行开腹手术,观察组患者行LAVH治疗,比较两组患者术中出血量、手术时间、排气时间、下床时间、住院时间、尿管留置时间以及并发症发生、伤口甲级愈合、止痛泵应用情况。结果观察组患者的术中出血量明显少于对照组,手术时间明显长于对照组,排气时间、下床时间、尿管留置时间、住院时间均明显短于对照组,差异均有统计学意义(均P<0.05);观察组患者术后并发症发生率、止痛泵应用率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论 LAVH治疗巨大子宫肌瘤患者疗效确切,具有出血量少、并发症少、术后恢复快等优点。
Objective To investigate the clinical efficacy of laparoscopic assisted vaginal hysterectomy (LAVH) in the treatment of patients with huge uterine fibroids. Methods A total of 100 patients with giant uterine fibroids who were admitted to Central Hospital of Benxi from February 2014 to February 2015 were selected as the research object. The patients were divided into observation group and control group according to random number table method. The patients in the control group underwent laparotomy. The patients in the observation group underwent LAVH treatment. The blood loss, operation time, exhaust time, bed time, hospital stay, catheter indwelling time and complication were compared between the two groups. Healing, analgesic pump application. Results In the observation group, the intraoperative blood loss was significantly less than that of the control group, the operation time was significantly longer than the control group, the exhaust time, bed ambulation time, catheter indwelling time and hospital stay were significantly shorter than the control group, the difference was statistically significant (All P <0.05). The incidence of postoperative complications and analgesic pump in the observation group were significantly lower than those in the control group (all P <0.05). Conclusion LAVH treatment of patients with huge uterine fibroids exact effect, with less bleeding, fewer complications, quick recovery and so on.