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目的比较腹腔镜辅助阴式子宫切除术与阴式子宫切除术的临床疗效,以将良好的术式提供给临床治疗,改善患者预后。方法选取2014年2月—2016年1月在蚌埠市第三人民医院妇科接受子宫切除手术治疗的患者48例作为研究对象,将其分为2组,对照组32例,实施阴式子宫切除术;观察组16例,实施腹腔镜辅助阴式子宫切除术。对2组患者的临床资料进行回顾性分析,比较2组的术中出血量、术后排气时间、术后住院日及术后并发症的发生率。结果观察组手术时间长于对照组(P<0.05),与术中需建立CO_2气腹,盆腔粘连者多,手术难度大以及对腹腔镜器械不熟练有关。但实验组术中出血量、术后排气时间、术后住院日及术后并发症的发生率明显低于对照组,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是妇科微创手术,术中视野清晰,可发现并处理盆腔内其他病变,出血少、恢复快、住院时间短、并发症少、安全性高。与阴式子宫切除术相比较,采用腹腔镜辅助阴式子宫切除术治疗方法的临床实际效果显著,是临床实施子宫切除的可靠选择,值得临床推广应用。
Objective To compare the clinical effects of laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy in order to provide a good surgical procedure to improve the prognosis of patients. Methods From February 2014 to January 2016, 48 cases of gynecological hysterectomy in the Third People’s Hospital of Bengbu City were selected as the research object, which were divided into two groups and the control group received 32 cases of vaginal hysterectomy ; Observation group of 16 cases, the implementation of laparoscopic assisted vaginal hysterectomy. The clinical data of 2 groups of patients were retrospectively analyzed. The intraoperative blood loss, postoperative exhaust time, postoperative hospital days and postoperative complications were compared between the two groups. Results The operation time of the observation group was longer than that of the control group (P <0.05). It was related to the need of establishing pneumoperitoneum of pneumoperitoneum and pelvic adhesions, the difficulty of operation and the unskilled laparoscopic instruments. However, the incidence of intraoperative bleeding, postoperative exhaust time, postoperative hospital stay and postoperative complications in the experimental group were significantly lower than those in the control group (P <0.05). Conclusions Laparoscopic assisted vaginal hysterectomy is a gynecological minimally invasive surgery. The intraoperative visual field is clear, and other lesions in pelvic cavity can be found and treated with less bleeding, faster recovery, shorter hospital stay, fewer complications and high safety. Compared with the vaginal hysterectomy, the use of laparoscopic assisted vaginal hysterectomy treatment of clinical practice is significant, clinical implementation of hysterectomy is a reliable choice, it is worth promoting the clinical application.