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目的对腹腔镜辅助下阴式全子宫切除术(LAVH)治疗巨大子宫肌瘤的临床效果进行评价。方法将青海红十字医院妇科2013年7月~2014年1月收治的经LAVH治疗的68例巨大子宫肌瘤患者作为观察组,2013年1~6月采用传统开腹手术治疗的54例巨大子宫肌瘤患者作为对照组,比较两组患者的临床效果差异。结果观察组的手术时间(46.5±8.4)min显著地短于对照组(P<0.05),观察组的术中出血量(63.7±10.5)ml、术后排气(0.8±0.5)天、下床活动(1.5±0.4)天、住院时间(4.8±1.5)天等均显著地低于对照组患者且差异均具有统计学意义(P<0.05)。对两组患者的盆底功能进行检查,观察组的压力性尿失禁、阴道顶端脱垂发生率与对照组差异不具有统计学意义(P>0.05);观察组的性生活满意度(80.88%)显著地高于对照组(62.96%),差异具有统计学意义(P<0.05)。观察组的手术并发症发生率为8.82%,低于对照组的12.96%,但差异不具有统计学意义(P>0.05)。结论腹腔镜辅助下阴式全子宫切除术治疗巨大子宫肌瘤较传统开腹手术具有手术创伤小、术后恢复快、术后患者性生活满意度高的优点。
Objective To evaluate the clinical efficacy of laparoscopic assisted vaginal hysterectomy (LAVH) in treating giant uterine fibroids. Methods Sixty-eight patients with giant uterine fibroids treated by LAVH from July 2013 to January 2014 in Qinghai Red Cross Hospital were enrolled as observation group. From January to June 2013, 54 cases of giant uterus treated by traditional laparotomy Myoma patients as a control group, the difference between the two groups of patients clinical efficacy. Results The operation time of the observation group (46.5 ± 8.4) min was significantly shorter than that of the control group (63.7 ± 10.5) ml, and the postoperative exhaust time was 0.8 ± 0.5 days Bed activity (1.5 ± 0.4) days, hospital stay (4.8 ± 1.5) days were significantly lower than those in the control group and the difference was statistically significant (P <0.05). The pelvic floor function was examined in both groups. The incidence of stress urinary incontinence and vaginal apical prolapse in the observation group was not significantly different from that in the control group (P> 0.05). The sex life satisfaction (80.88% ) Was significantly higher than the control group (62.96%), the difference was statistically significant (P <0.05). The incidence of complications in the observation group was 8.82%, which was lower than that in the control group (12.96%), but the difference was not statistically significant (P> 0.05). Conclusion Laparoscopic assisted vaginal hysterectomy for the treatment of giant uterine fibroids compared with the traditional open surgery has the advantages of less trauma, postoperative recovery, postoperative patients with high sexual satisfaction.