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目的探究改良腹腔镜辅助阴式子宫切除术切除子宫的临床效果。方法选取沁阳市妇幼保健院2014年10月至2016年1月收治的142例行子宫全切术的患者,根据手术方式的不同,分为观察组和对照组各71例,分别接受腹腔镜辅助阴式子宫切除术、经腹子宫切除术。分析两组手术状况和不良反应发生情况。结果观察组术中出血量、术后排气时间和术后疼痛率分别为(71.7±22.5)ml、(12.6±3.9)h、78.87%,均优于对照组,两组差异具有统计学意义(P<0.05)。结论腹腔镜辅助阴式子宫切除术能显著降低术中出血量、缩短术后排气时间,缓解术后疼痛程度,术后恢复快,值得推广使用。
Objective To investigate the clinical effect of modified laparoscopic assisted vaginal hysterectomy in the removal of the uterus. Methods 142 cases underwent hysterectomy in Qinyang Maternal and Child Health Hospital from October 2014 to January 2016 were selected and divided into observation group and control group with 71 cases each receiving laparoscopic Assisted vaginal hysterectomy, abdominal hysterectomy. Analysis of two groups of surgical conditions and adverse reactions occurred. Results The intraoperative blood loss, postoperative exhaust time and postoperative pain rate were (71.7 ± 22.5) ml and (12.6 ± 3.9) h and 78.87% in the observation group, respectively, which were significantly better than those in the control group (P <0.05). Conclusions Laparoscopic assisted vaginal hysterectomy can significantly reduce intraoperative blood loss, shorten postoperative exhaust time, relieve postoperative pain and postoperative recovery quickly, which is worth promoting.