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目的:比较阴式全子宫切除术与腹腔镜下全子宫切除术的临床治疗效果。方法:回顾性分析2014年6月-2015年6月我院收治的137例子宫良性病变患者的临床病历资料,按照手术方式将其分为阴式组(行阴式全子宫切除术)和腹腔镜组(行腹腔镜下全子宫切除术),比较两组患者的术中、术后临床指标及术后并发症情况。结果:阴式组手术时间及术中出血量均少于腹腔镜组,差异有统计学意义(P<0.05)。阴式组肛门排气时间、下床活动时间以及住院时间均短于腹腔镜组,住院总费用低于腹腔镜组,差异有统计学意义(P<0.05)。两组患者并发症发生情况差异无统计学意义(P>0.05)。结论:阴式全子宫切除术较腹腔镜下全子宫切除术而言,具有手术创伤小、术后恢复快的特点,值得临床推广。
Objective: To compare the clinical effects of vaginal hysterectomy and laparoscopic hysterectomy. Methods: Clinical data of 137 patients with benign uterine lesions admitted to our hospital from June 2014 to June 2015 were retrospectively analyzed. They were divided into the vaginal group (vaginal hysterectomy) and abdominal cavity Group (laparoscopic hysterectomy), the two groups of patients were compared intraoperative and postoperative clinical indicators and postoperative complications. Results: The operation time and intraoperative blood loss in the vaginal group were less than those in the laparoscopic group, the difference was statistically significant (P <0.05). Vaginal anal exhaust time, ambulation time and hospitalization time were shorter than the laparoscopic group, the total cost of hospitalization was lower than the laparoscopic group, the difference was statistically significant (P <0.05). There was no significant difference in the complication between the two groups (P> 0.05). Conclusion: Compared with laparoscopic hysterectomy, vaginal hysterectomy has the advantages of small trauma and rapid recovery after operation, which is worthy of clinical promotion.