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目的探讨腹腔镜辅助阴式全子宫切除术与开腹全子宫切除术的疗效比较。方法 2011年11月至2012年11月期间,平顶山市第一人民医院诊治66例良性子宫病变患者,随机分为对照组(开腹全子宫切除术)和观察组(腹腔镜辅助阴式全子宫切除术),每组各33例,对两组手术时间、术中出血量、胃肠功能恢复时间、住院时间以及术后并发症发生率等进行观察和比较。结果与对照组相比,观察组手术时间、术中出血量、胃肠功能恢复时间、住院时间均明显减少,术后并发症发生率显著降低,P均<0.05,差异有统计学意义。结论对于子宫良性病变患者,腹腔镜辅助阴式全子宫切除术疗效显著,值得临床推广。
Objective To investigate the efficacy of laparoscopic assisted vaginal hysterectomy and open hysterectomy. Methods From November 2011 to November 2012, 66 cases of benign uterine lesions were diagnosed and treated in the First People’s Hospital of Pingdingshan City and were randomly divided into control group (open hysterectomy) and observation group (laparoscopic assisted vaginal hysterectomy) (33 cases in each group). The operation time, intraoperative blood loss, gastrointestinal function recovery time, hospitalization time and the incidence of postoperative complications were observed and compared. Results Compared with the control group, the operation time, intraoperative blood loss, gastrointestinal function recovery time and hospitalization time in the observation group were significantly decreased, and the incidence of postoperative complications was significantly lower, P <0.05, the difference was statistically significant. Conclusion For patients with benign uterine lesions, laparoscopic assisted vaginal hysterectomy has a significant effect, worthy of clinical promotion.