腹腔镜辅助下阴式子宫切除术治疗子宫疾病119例临床分析

摘要

Objective:To investigate clinical efficacy of laparoscopic assisted vaginal hysterectomy for uterine disease.Method:229 cases of elective hysterectomy in our hospital were selected.110 cases in control group were received simple vaginal hysterectomy.119 cases in observation group were received laparoscopic assisted vaginal hysterectomy.The operative time,blood loss,postoperative recovery anal exhaust time,hospitalization time and complication rates of two groups were compared.Result:Operative time of two group had no statistically significance(P>0.05).Blood loss, postoperative recovery anal exhaust time and hospitalization time of observation group were significantly lower than control group(P<0.05).Patients with no postoperative complications occurred in observation group,while 1 case of control group had bladder injury(P>0.05).Conclusion:Laparoscopic assisted vaginal hysterectomy is safe and effective.It can significantly reduce blood loss,rapid postoperative recovery and shorten hospital stay.%目的：探讨腹腔镜辅助下阴式子宫切除术治疗子宫疾病的临床疗效。方法：选取本院收治的229例择期行子宫切除术的患者为研究对象，其中110例为对照组，行单纯阴式子宫切除术，119例为观察组，行腹腔镜辅助下阴式子宫切除术。比较两组患者的手术时间、术中出血量、术后肛门恢复排气时间、住院时间及并发症发生率。结果：观察组手术时间与对照组比较差异无统计学意义（P>0.05）；观察组术中出血量、术后肛门恢复排气时间和住院时间均显著少于对照组（P<0.05）；观察组患者术后无并发症情况发生，对照组有1例出现膀胱损伤，两组并发症发生率比较差异无统计学意义（P>0.05）。结论：腹腔镜辅助下阴式子宫切除术安全有效，能显著减少术中出血量，术后恢复快，住院时间短。