摘要
目的比较腹腔镜下阴式子宫全切术(LAVH)与开腹子宫全切术治疗良性子宫疾病的临床效果。方法将76例拟行子宫全切术的患者按随机数字表法分为对照组和观察组,对照组实行开腹子宫全切术,观察组实行LAVH,比较两组患者手术时间、术中出血量、术后镇痛例数、排气时间、住院时间、抗生素使用时间等。结果两组手术时间差异无统计学意义(t=-1.224,P>0.05);而观察组术中出血量明显少于对照组,差异有统计学意义(t=-3.124,P<0.01);观察组术后排气时间、住院时间、抗生素使用时间及术后镇痛率与对照组相比,差异均有统计学意义(P<0.01)。结论在子宫良性疾病的治疗中,LAVH相对于传统的开腹手术具有明显优势,值得推广应用。
Objective To compare the clinical effect of laparoseopic vaginal hysterectomy （LAVH）and abdominal hysterectomy. Methods 76 patients who would receive total hysterectomy were divided into control group and observation group according to random number table method. The patients of control group were given abdominal hysterectomy while patients of observation group were given LAVH. The operation time,intraoperative blood loss,postoperative analgesia cases,hospital stays and antibiotic use time of the two groups were compared. Results There was no significant difference in the operation time between the two groups （t=-1.224,P〉0.05）;while the intraoperative blood loss of the observation group was much less than the control group,the difference was significant （t=-3.124,P〈0.01）;the postoperative anal exhaust time,hospital stays,antibiotic use time and postoperative analgesia rate of two groups compared,the differences were significant （P〈0.01）. Conclusion LAVH has obvious advantages compared with traditional hysterectomy in treatment of uterine benign diseases and it is worthy of application.
出处
《中国当代医药》
2013年第35期44-45,共2页
China Modern Medicine
