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目的探讨经阴道及腹腔镜辅助阴式两种术式切除子宫的临床疗效。方法选取本院2012年9月~2013年10月收治的94例行子宫切除术的患者为研究对象,根据其术式的不同将其分为经阴道阴式子宫切除术组(46例)和腹腔镜辅助阴式子宫切除术组(48例),观察行两种术式的临床疗效。结果两组患者均顺利完成手术,中途无一例转为开腹手术,两组术后排气时间、术后并发症发生率比较,差异无统计学意义(P>0.05);而经阴道组患者手术时间、术中出血量以及住院费用均明显较腹腔镜组少,差异具有统计学意义(P<0.05)。结论经阴道阴式子宫切除术手术操作时间相对较短,术中出血量较少且住院费用较少,但腹腔镜辅助下阴式子宫切除术能有效弥补经阴道阴式子宫切除术手术视野的局限性缺陷,适用于不适合经阴道阴式子宫切除术的患者。临床上可根据患者具体情况选择合适的术式。
Objective To investigate the clinical efficacy of transvaginal and laparoscopic assisted vaginal surgery in the removal of the uterus. Methods Ninety-four patients undergoing hysterectomy from September 2012 to October 2013 in our hospital were selected and divided into vaginal vaginal hysterectomy group (46 cases) and vaginal hysterectomy group Laparoscopic assisted vaginal hysterectomy group (48 cases), observed the clinical efficacy of the two surgical procedures. Results The patients in both groups completed the operation successfully, and none of them was converted to open surgery. There was no significant difference in postoperative exhaust time and postoperative complication rate between the two groups (P> 0.05) The operation time, intraoperative blood loss and hospitalization costs were significantly less than the laparoscopic group, the difference was statistically significant (P <0.05). Conclusions Transvaginal vaginal hysterectomy has a relatively short operating time, less blood loss and less hospitalization, but laparoscopic-assisted vaginal hysterectomy can effectively compensate for vaginal hysterectomy surgery visual field Limitations Deficiencies for patients who are not suitable for vaginal vaginal hysterectomy. Clinically according to the specific circumstances of patients choose the appropriate surgical procedures.