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观察  

Application value of laparoscopic assisted vaginal hysterectomy in the treatment of large uterine fibroids

作　　者：王楠[1] 章根琴[1] 

机构地区：[1]金华市人民医院妇产科,浙江省金华321000

出　　处：《中国基层医药》2017年第11期1638-1641,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨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价值.方法 选择巨大子宫肌瘤患者76例,利用随机双色球法进行随机分组,对照组38例患者,行传统开腹手术治疗,观察组38例患者,行腹腔镜辅助阴式全子宫切除术治疗,对比两组手术操作时间、手术出血量、术后肛门排气时间、下床活动时间及住院时间等手术情况,并统计其术后并发症发生情况.结果 观察组手术出血量（65.28±4.86）mL、手术操作时间（76.29±5.32）min、术后肛门排气时间（10.18±2.01）h、术后下床活动时间（14.02±2.18）h及住院时间（4.05±1.26）d,均显著优于对照组,差异均有统计学意义（t=6.830、8.066、6.598、13.747、6.302,均P＜0.05）,观察组术后并发症发生率5.26%,低于对照组的15.79%,差异有统计学意义（x2=5.887,P＜0.05）.结论 采取腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的疗效较传统开腹手术更有优势,具有出血量少、术后恢复快、术后并发症少的优点,值得推荐.Objective To explore the value of laparoscopic assisted vaginal hysterectomy in the treatment of large uterine fibroids.Methods 76 patients with giant hysteromyoma were randomly divided into two groups.38 patients in the control group underwent conventional open surgery, 38 cases in the observation group received laparoscopic assisted vaginal hysterectomy surgical treatment.The operation time, amount of bleeding in operation, postoperative anal exhaust time, get out of bed activity time, length of operation time and the postoperative complications were compared between the two groups.Results In the observation group, the operation bleeding[（65.28±4.86）mL], operation time[（76.29±5.32）min], postoperative anal exhaust time[（10.18±2.01）h], postoperative bed activity time[（14.02±2.18）h] and hospitalization time[（4.05±1.26）days] were significantly better than those of the control group, the differences were statistically significant （t=6.830,8.066,6.598,13.747,6.303,all P〈0.05）.The incidence rate of postoperative complication of the observation group was 5.26%, which was lower than 15.79% of the control group, the difference was statistically significant （x2=5.887,P〈0.05）.Conclusion The treatment of giant hysteromyoma patients with laparoscopic assisted vaginal hysterectomy the uterus resection has more advantages than the traditional laparotomy, with less amount of bleeding, fast postoperative recovery and less postoperative complications, it is worthy of recommendation.

关 键 词：平滑肌瘤 腹腔镜检查 子宫切除术 

分 类 号：R737.33[医药卫生—肿瘤]