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目的:研究腹腔镜下全子宫切除术与阴式全子宫切除术的临床效果。方法:随机选取阳江市人民医院2014年2月至2016年5月收治的169例子宫良性病变患者,分为对照组与观察组。对照组84例,行腹腔镜下全子宫切除术。观察组85例,行阴式全子宫切除术。比较两组患者手术观察指标与并发症发生率。结果:观察组手术时间、肛门排气时间、住院时间均短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。观察组并发症发生率(3.5%)低于对照组(4.8%),差异无统计学意义(P>0.05)。结论:与腹腔镜下全子宫切除术相比,阴式全子宫切除术可有效改善患者的手术指标与术后指标,且不会增加并发症的发生几率,可作为子宫良性病变的首选临床治疗方式。
Objective: To study the clinical effect of laparoscopic hysterectomy and vaginal hysterectomy. Methods: A total of 169 patients with benign uterine lesions who were admitted to Yangjiang People’s Hospital from February 2014 to May 2016 were randomly divided into control group and observation group. The control group of 84 cases underwent laparoscopic hysterectomy. The observation group of 85 patients underwent vaginal hysterectomy. Surgical indexes and complication rates were compared between the two groups. Results: The operation time, anal exhaust time and hospitalization time in the observation group were shorter than those in the control group. The blood loss in the observation group was less than that in the control group. The difference was statistically significant (P <0.05). The incidence of complications in the observation group (3.5%) was lower than that in the control group (4.8%), with no significant difference (P> 0.05). Conclusion: Compared with laparoscopic total hysterectomy, vaginal hysterectomy can effectively improve the patients’ operation and postoperative indexes without increasing the incidence of complications, which may be the first choice of clinical treatment for benign uterine lesions the way.