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对比分析
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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.
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
[1]聂磊.腹腔镜辅助下经阴道子宫全切治疗子宫肌瘤的临床效果分析[J]中国医疗器械信息,2016,22(20):74-75.
[2]丁伟平,金芙蓉,全晓瑜.腹腔镜下子宫肌瘤剔除术与子宫次全切术治疗子宫肌瘤的疗效及安全性对比[J].浙江创伤外科,2016,21(6):1175-1177
[3]康瑛.腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的临床疗效[J]系统医学,2016,1(10):76-78.
[4]蒋俊红.腹腔镜辅助阴式全子宫切除术(LAVH)治疗巨大子宫肌瘤疗效及疼痛分析[J].中国医疗器械信息,2016,22(17):52-54.
[5]柯应夔.临床妇科学[M].天津:天津科学技术出版社,1992:78-79.
[6]秦雪.分析应用腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的临床效果[J].中外医疗,2017,36(6):60-61.
[7]Jimi T,Yamamoto R,Seo K.A case of laparoscopy-assisted vaginal cuff suturing for vaginal cuff dehiscence after total laparoscopic hysterectomy[J]International Journal of Surgery Case Reports,2017,41(4):110-113.
[8]贾方凌.腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤临床研究[J]中外医学研究,2016,14(10):111-112.
[9]King CR,Giles D.Total Laparoscopic Hysterectomy and LaparoscopicAssisted Vaginal Hysterectomy[J].Obstet Gynecol Clin North Am,2016,43(3):463-478.
[10]马清霞.腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的疗效观察[J].河南医学研究,2016,25(2):352-353.
[11]王莹.腹腔镜辅助阴式全子宫切除手术治疗巨大子宫肌瘤的临床疗效研究[J].中国医疗器械信息,2017,23(20):51-52.
[12]崔振远.腹腔镜下全子宫切除术与开腹手术治疗子宫肌瘤的效果对比分析[J].河南医学研究,2017,26(10):1809-1810.
[13]张慧.腹腔镜辅助阴式全子宫切除术在巨大子宫肌瘤治疗中的应用效果研究[J].当代医学,2017,23(3):128-129.
[14]张晓平.腹腔镜下子宫全切除术治疗子宫肌瘤的临床疗效观察[J].临床医学研究与实践,2017,2(9):64-65.
[15]张建兰.腹腔镜辅助下全子宫切除术与经阴道全子宫切除术在子宫肌瘤患者治疗中的效果对比[J].航空航天医学杂志,2017,28(9):1071-1073.
[2]丁伟平,金芙蓉,全晓瑜.腹腔镜下子宫肌瘤剔除术与子宫次全切术治疗子宫肌瘤的疗效及安全性对比[J].浙江创伤外科,2016,21(6):1175-1177
[3]康瑛.腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的临床疗效[J]系统医学,2016,1(10):76-78.
[4]蒋俊红.腹腔镜辅助阴式全子宫切除术(LAVH)治疗巨大子宫肌瘤疗效及疼痛分析[J].中国医疗器械信息,2016,22(17):52-54.
[5]柯应夔.临床妇科学[M].天津:天津科学技术出版社,1992:78-79.
[6]秦雪.分析应用腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的临床效果[J].中外医疗,2017,36(6):60-61.
[7]Jimi T,Yamamoto R,Seo K.A case of laparoscopy-assisted vaginal cuff suturing for vaginal cuff dehiscence after total laparoscopic hysterectomy[J]International Journal of Surgery Case Reports,2017,41(4):110-113.
[8]贾方凌.腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤临床研究[J]中外医学研究,2016,14(10):111-112.
[9]King CR,Giles D.Total Laparoscopic Hysterectomy and LaparoscopicAssisted Vaginal Hysterectomy[J].Obstet Gynecol Clin North Am,2016,43(3):463-478.
[10]马清霞.腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的疗效观察[J].河南医学研究,2016,25(2):352-353.
[11]王莹.腹腔镜辅助阴式全子宫切除手术治疗巨大子宫肌瘤的临床疗效研究[J].中国医疗器械信息,2017,23(20):51-52.
[12]崔振远.腹腔镜下全子宫切除术与开腹手术治疗子宫肌瘤的效果对比分析[J].河南医学研究,2017,26(10):1809-1810.
[13]张慧.腹腔镜辅助阴式全子宫切除术在巨大子宫肌瘤治疗中的应用效果研究[J].当代医学,2017,23(3):128-129.
[14]张晓平.腹腔镜下子宫全切除术治疗子宫肌瘤的临床疗效观察[J].临床医学研究与实践,2017,2(9):64-65.
[15]张建兰.腹腔镜辅助下全子宫切除术与经阴道全子宫切除术在子宫肌瘤患者治疗中的效果对比[J].航空航天医学杂志,2017,28(9):1071-1073.