摘要
目的探讨腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤患者的效果。方法选取2014年6月~2016年6月我院收治的90例巨大子宫肌瘤患者,采用随机数字表法分成两组,各45例。其中实验组采用腹腔镜辅助阴式全子宫切除术进行治疗,而对照组采用开腹子宫切除手术进行治疗。观察两组患者的治疗效果,并进行手术时间、下床活动时间、术后肛门排气时间以及住院时间的比较。结果两组患者术中出血量及手术伤口愈合率比较差异无统计学意义(P>0.05),而实验组患者的住院时间、手术时间、肛门排气时间、下床活动时间均显著短于对照组,术后发热率也低于对照组患者,差异均有统计学意义(P<0.05);两组患者的术后并发症发生率比较差异无统计学意义(P>0.05)。结论对巨大子宫肌瘤患者采用腹腔镜辅助阴式全子宫切除术治疗可有效减轻对患者机体的影响,也能达到显著的临床效果,有利于患者恢复,值得临床上推广应用。
Objective To study the clinical efficacy of laparoscopic assisted vaginal hysterectomy in the treatment of patients with giant uterine fibroids.Methods From June 2014 to June 2016,90 cases with giant uterine leiomyoma in our hospital were divided into two groups by random number table method,45 cases in each group.The experimental group was treated by laparoscopic assisted vaginal hysterectomy,while the control was treated by laparotomy hysterectomy. The therapeutic effect of two groups was observed,and the operation time,ambulation time,postoperative anal exhaust time and hospitalization time were compared.Results Bleeding and wound healing rate in the two groups had no signifi- cant difference （P〉0.05）,while the hospital time,operation time,anus exhaust time,ambulation time of the experimental group was respectively significantly shorter than that of the control group,rate of postoperative fever of the experimental group was lower than that of the control group,the differences were statistically significant （P〈0.O5）;the incidence of postoper- ative complications in the two groups had no significant difference （P〉0.05）.Conclusion The use of giant uterine fibroids patients undergoing laparoscopic assisted vaginal hysterectomy treatment can effectively reduce the impact on the patient,also can achieve significant clinical effect,is conducive to the recovery of patients,worthy of clinical application
出处
《中国当代医药》
2017年第14期76-78,共3页
China Modern Medicine
