摘要
目的探讨腹腔镜辅助下阴式子宫切除与腹腔镜下全子宫切除治疗子宫肌瘤的疗效变化。方法选取2017年1月至2018年12月于我院就诊的162例子宫肌瘤患者为研究对象,按随机数字表法将患者分为观察组和对照组,各81例。对照组给予腹腔镜辅助下阴式子宫切除术治疗,观察组采用腹腔镜下全子宫切除术治疗,对比两组临床疗效。结果观察组手术时间、术中出血量均少于对照组(P<0.05);两组术后排气时间以及住院时间对比无显著差异(P>0.05);两组并发症发生率对比无显著差异(P>0.05)。结论在子宫肌瘤治疗中应用腹腔镜下全子宫切除术可以有效地缩短手术时间以及降低术中出血量,效果显著,值得应用。
Objective To investigate the effect of laparoscopic vaginal assisted hysterectomy and total laparoscopic hysterectomy for uterine fibroids. Methods A total of 162 patients with uterine fibroids who were treated in our hospital from January 2017 to December 2018 were enrolled. The patients were divided into observation group and control group according to the random number table method, 81 cases each. The control group received laparoscopic vaginal-assisted hysterectomy, and the observation group received total laparoscopic hysterectomy. The clinical efficacy was compared between the two groups. Results The operation time and intraoperative blood loss were lower in the observation group than in the control group(P<0.05); There was no significant difference in the postoperative exhaust time and hospitalization time between the two groups(P>0.05); There was no significant difference in the incidence of complications between the two groups(P>0.05). Conclusion Laparoscopic hysterectomy in the treatment of uterine fibroids can effectively shorten the operation time and reduce the amount of intraoperative blood loss. The effect is significant and worthy of application.
引文
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