阴式与腹腔镜辅助阴式全子宫切除术对非脱垂良性子宫病变的临床疗效对比

Clinical effects of transvaginal and laparoscopic assisted transvaginal hysterectomy on treatment of non-prolapsed benign uterine lesions

目的比较阴式与腹腔镜辅助阴式全子宫切除术对非脱垂良性子宫病变的临床疗效。方法选取非脱垂良性子宫病变患者198例,随机分为阴式组97例、腹腔镜辅助组101例,比较2组术中和术后情况。结果腹腔镜辅助组手术时间显著长于阴式组,但出血量显著增多;腹腔镜辅助组术后排气时间显著短于阴式组,而术后3 d最高体温、术后住院天数2组无显著差异;阴式组总的并发症发生率显著高于腹腔镜辅助组。结论对于非脱垂子宫良性病变患者,腹腔镜辅助阴式子宫切除术时间稍长,但术中出血少、恢复快、术中术后并发症少。

Objective To compare the clinical effects of transvaginal and laparoscopic assist- ed transvaginal hysterectomy on treatment of non-prolapsed benign uterine lesions. Methods 198 patients with non-prolapsed benign uterine lesions were divided in＊o transvaginal group （97 cases） and laparoscopic assisted group （101 cases）. The condition during and after operation were com- pared between 2 groups. Results The operation time in laparoscopic assisted group was obviously longer than that in transvaginal group, but the bleeding amount was obviously larger. The evacua- tion time in laparoscopic assisted group was obviously shorter than that in trans-vaginal group, while there was no significant difference between 2 groups in the highest temperature 3 days alter opera- tion and length of stay. The total incidence of complications in transvaginal group was obviously higher than that in laparoscopic assisted group. Conclusion For the patients with non-prolapsed be- nign uterine lesions, laparoscopic assisted transvaginal hysterectomy has a longer operation time but less bleeding amount, faster recovery and less operative complications.