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目的 :针对巨大子宫肌瘤(子宫大于14周妊娠大小)患者采取腹腔镜辅助阴式全子宫切除术的治疗方式,对于应用的效果进行评价。方法 :选取巨大子宫肌瘤患者92例展开随机分组,给予参照组46例行传统开腹手术,针对研究组46例行腹腔镜辅助阴式全子宫切除术,对比观察疗效。结果 :比较手术时间、术中出血量以及下床活动时间和住院时间情况,研究组同参照组相比优势明显(P<0.05),统计并发症情况,参照组高于研究组,差异性显著(P<0.05)。结论 :在对具有巨大子宫肌瘤患者实施治疗期间,采取腹腔镜辅助阴式全子宫切除术的方式效果更为理想。
OBJECTIVE: To evaluate the efficacy of laparoscopic assisted vaginal hysterectomy in patients with huge uterine fibroids (gestational size greater than 14 weeks in the uterus). Methods: Totally 92 patients with huge uterine fibroids were randomly divided into control group and 46 patients undergoing conventional laparotomy. A total of 46 patients undergoing laparoscopic assisted vaginal hysterectomy were enrolled in this study. The curative effect was observed. Results: Compared with the control group, the study group had more advantages than the reference group in the time of operation, the volume of blood loss during operation, the time of going to bed and the duration of hospitalization. The statistical complication, the reference group was higher than the study group, the difference was significant (P <0.05). Conclusion: Laparoscopic assisted vaginal hysterectomy is more effective in the treatment of patients with huge uterine fibroids.