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目的探讨腹腔镜阴式全子宫切除术治疗巨大子宫肌瘤的效果。方法随机选取2013年3月到2014年3月巨大子宫肌瘤患者102例,将其依据手术方法分为两组,开腹术组51例行开腹全子宫切除术,腹腔镜组51例行腹腔镜阴式全子宫切除术,比较两组疗效。结果腹腔镜组手术成功50例,1例因术中显示致密粘连在镜下很难分离转为开腹术,未见副损伤;开腹术组例手术成功51例,术后切口感染1例。术后2个月复查,两组患者盆腔均未见异常,阴道残端愈合良好。腹腔镜组手术时间较开腹术组延长,腹腔镜组排气时间、下床活动时间较开腹术组减少,差异有统计学意义(P<0.05)。结论腹腔镜阴式全子宫切除术对巨大子宫肌瘤治疗效果显著,值得临床推广应用。
Objective To investigate the effect of laparoscopic vaginal hysterectomy in treating giant uterine fibroids. Methods A total of 102 patients with giant uterine fibroids from March 2013 to March 2014 were randomly selected. They were divided into two groups according to the surgical method. In the open group, 51 patients underwent open hysterectomy and 51 patients underwent laparoscopy Laparoscopic vaginal hysterectomy, the two groups were compared. Results Laparoscopic surgery was successful in 50 cases, 1 case because of intraoperative dense adhesions in the microscope is difficult to separate into open surgery, no secondary injury; open surgery group of 51 cases of successful surgery, incision infection in 1 case . 2 months after the review, both groups were no abnormal pelvic, vaginal stump healing well. The laparoscopic group had longer operation time than laparotomy group, and laparoscopic group had shorter expiratory time and ambulation time than open group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic vaginal hysterectomy for the treatment of huge uterine fibroids significant effect, worthy of clinical application.