腹腔镜辅助阴式子宫切除与单纯阴式子宫切除的效果对照  

Clinical effects of laparoscopy assisted vaginal hysterectomy and simple vaginal hysterectomy

作　　者：刘园园[1] 

机构地区：[1]河南省太康县人民医院妇产科,475400

出　　处：《中国实用医刊》2015年第21期53-54,共2页Chinese Journal of Practical Medicine

摘　　要：目的：探讨腹腔镜辅助阴式子宫切除与单纯阴式子宫切除的临床效果。方法选取2013年6月至2014年6月122例需子宫切除患者作为研究对象，按照随机分组法将其分为对照组和观察组，每组61例。对照组患者行单纯阴式子宫切除术，观察组患者在腹腔镜直视下行阴式子宫切除术，比较两组患者手术时间、术中出血量、住院时间、术后排气时间以及阴道残端感染率等情况。结果观察组患者手术时间明显长于对照组，差异有统计学意义（P＜0．05）；观察组患者术中出血量、住院时间、术后排气时间以及阴道残端感染率明显优于对照组，两组比较差异有统计学意义（ P＜0．05）。结论腹腔镜辅助阴式子宫切除术比单纯阴式子宫切除术临床效果要明显，且具有创伤小、出血量少和恢复快等优点，该方法值得在临床推广应用。Objective To investigate the clinical effects of laparoscopic assisted vaginal hysterectomy and simple vaginal hysterectomy.Methods From June 2013 to June 2014, 122 patients needed hysterectomy were chosen for the study, and randomly divided into the control group and the observation group, with 61 cases in each group.The patients in the control group had vaginal hysterectomy, and the patients in observation group had laparoscopy assisted vaginal hysterec-tomy.The operative time, blood loss, hospital stay, postoperative discharge time, and vaginal stump infection was com-pared.Results The operative time was significantly longer in observation group than that in the control group, the differ-ence was significant（ P〈0.05）;the blood loss, hospital stay, postoperative discharge time, and vaginal stump infection in observation group was significantly better than that in the control group, the differences were significant（P〈0.05）.Con-clusions Laparoscop assisted vaginal hysterectomy has more obvious effect than simple vaginal hysterectomy, and with less trauma, less bleeding and quicker recovery, which is worth in clinical application.

关 键 词：单纯阴式子宫切除 腹腔镜辅助阴式子宫切除术 疗效 

分 类 号：R713.42[医药卫生—妇产科学]