非脱垂子宫不同手术方式子宫切除的临床效果评价

摘要

Objective: To conduct comparative analysis of clinic treatment effect of laparoscopically assisted vaginal hysterectomy,abdominal hysterectomy,and vaginal hysterectomy.Methods:300 cases of patients who were treated with hysterectomies in Maternal and Child Care Service Centre of Zhuzhou between Feb.2010 and Jan.2013 were selected as the study samples;based on their own options,patients who selected abdominal hysterectomy were taken as abdominal group(short for abdominal group);patients who selected vaginal hysterectomy were divided into the vaginal group(short for vaginal group);and patients who selected laparoscopically assisted vaginal hysterectomy were divided into the laparoscope group(short for laparoscope group)every group was 100 patients.Time of operation,amount of bleeding during operation,anus exhaust time,inpatient days and complications after operation are taken as clinical observation indicators.In addition,statistics software is applied for analysis.Results:Vaginal group and laparoscope are both superior to abdominal group in amount of bleeding during operations,time of operation,anus exhaust time,inpatient days and complications after operation(P<0.05);patients in laparoscope group also have lower occurrence rate of postoperative complications than that in vaginal group and abdominal group(P<0.05).Conclusion:Besides advantages of small bleeding amount in operations,quick recovery and fewer postoperative complications,laparoscopically assisted vaginal hysterectomy and vaginal hysterectomy can also effectively make up defects of conventional abdominal hysterectomy;however,abdominal hysterectomy is still the first choice for complex hysterectomy.Therefore,a proper operative treatment means should be selected in clinical therapeutic process.%目的：对腹腔镜辅助阴式子宫切除术、腹式子宫切除术、阴式子宫切除术的临床治疗效果进行比较分析。方法：选取2010年2月～2013年1月来我院接受子宫切除术治疗的患者300例。按照患者的意愿进行分组，其中选择常规腹式切除术进行子宫切除（简称腹式组），选择常规阴式切除术进行子宫切除（简称阴式组），以及选择腹腔镜辅助阴式子宫切除术进行子宫切除（简称腹腔镜组），每组各100例。观察各组患者的术中相关指标（主要包括手术时间、术中的出血量），以及术后相关指标（主要包括肛门排气时间、住院时间及术后的并发症）。并使用统计学软件进行统计学分析。结果：与腹式组比较，阴式组和腹腔镜组患者的术中与术后相关指标均明显提高，差异具统计学意义（P＜0.05）；且术后并发症亦降低明显，差异具统计学意义（P＜0.05）。结论：相较于传统腹式子宫切除术，腹腔镜辅助阴式子宫切除术和阴式子宫切除术可有效地弥补其不足，均具有术中出血量少、患者恢复快、术后并发症较少等优点，然而对于复杂子宫切除，腹式子宫切除术仍然是首选。