腹腔镜辅助的阴式子宫切除术临床分析

目的探讨腹腔镜辅助的阴式子宫切除术。方法对90例适合行子宫切除术的患者,随机分成3组,治疗组(腹腔镜辅助的阴式子宫切除术)30例,对照1组(经腹子宫切除术)30例,对照2组(经阴道子宫切除术)30例,3组病人在年龄、子宫大小等临床资料上经统计学处理差异无显著性(P>0.05),通过对术中腹、盆腔探查的广泛性、术中诊断的准确性、本次初定术式手术切除成功率、术中出血量等12项指标共20分,进行量化研究。结果统计学处理差异有显著性(P<0.01)。结论腹腔镜辅助的阴式子宫切除术是一种安全、可行,围手术期、及远期效果都明显优于其它术式的一种成熟术式,应大力推广。

Objetive To investigate laparoscopy-assisted hysterectomy via vagina. Methods 90 patients who are applicable for hysterectomy were randomized into three groups. Total 30 cases were in treatment group (laparoscopy-assisted hysterectomy via vagina), 30 cases were in control group 1 (hysterectomy via abdominal), 30 cases were in control group 2 (hysterectomy via vagina). Three groups have no significant difference on clinical index such as age, size of uterus by statistical analysis (P>0.05). To investigate catholicity of exploratory in abdominal cavity and pelvis cavity and accurate of diagnostic during operation, total 12 index added up to 20 points include operation success rate, hemorrhage amount during operation were regard as clinical index to be investigated.Results and Conclusions It was proved that laparoscopy-assisted hysterectomy via vagina has obvious advantage than other method on effect around operation period and long-term effect and safety. It is mature and feasible operation and can be popularized.