腹腔镜与阴式子宫全切除术的临床治疗效果比较研究

摘要

目的：探讨腹腔镜与阴式子宫全切除术的临床治疗效果差异，为子宫全切除术的相关研究和临床实践提供借鉴、依据和参考。方法：2010年12月-2013年12月收治行子宫全切除术患者132例，随机分为腹腔镜组和阴式子宫全切除术组，两组分别实施阴式子宫全切除术和腹腔镜辅助阴式子宫全切除术。结果：在手术实施时间上，两组患者指标水平差异无统计学意义(t=0.5868，P=0.5583)；在手术中出血量、术后疼痛时间和肛门排气时间等3项指标上，腹腔镜组的指标均明显优于阴式子宫全切除术组，且组间数据差异均具有统计学意义(P＜0.05)。结论：在临床实施子宫全切除术的实践过程中，与单纯阴式子宫全切除术相比，采用腹腔镜辅助下阴式子宫全切除术的临床治疗效果显著，是临床实施子宫全切除术的理想选择。%Objective:To investigate the clinical effect differences of laparoscopic and transvaginal hysterectomy,in order to provide basis and reference for the hysterectomy relevant research and clinical practice.Methods:132 cases of hysterectomy were selected from December 2010 to December 2013.They were divided into the transvaginal hysterectomy group and laparoscopic assisted vaginal hysterectomy group.The two groups were given transvaginal hysterectomy and laparoscopic assisted vaginal hysterectomy respectively.Results:In the implementation of operation time,the difference in the index level of two groups was small,and not had statistically significant(t=0.5868,P=0.5583);in the 3 indicators of the operation amount of bleeding, postoperative pain and anal exhaust time,the index of the patients in the laparoscopic group were significantly better than the transvaginal hysterectomy group,and the differences of the datas between the two groups were had statistically significant(P<0.05).Conclusion:In the process of hysterectomy clinical practice,compared with the pure transvaginal hysterectomy,the clinical therapeutic effect of laparoscopic assisted vaginal hysterectomy are significant,so it is the ideal choice for clinical implementation of hysterectomy.