腹腔镜辅助下阴式子宫切除术与传统开腹子宫全切除临床疗效研究

Clinical Study of Laparoscopic Assisted Vaginal Hysterectomy and Traditional Open Hysterectomy

目的探讨腹腔镜辅助下阴式子宫切除术(LAVH)与传统开腹子宫全切除(TAH)临床疗效研究。方法方便选取2013年1月—2016年8月该院妇产科收治的实施腹腔镜辅助下阴式子宫切除术患者25例,与开腹子宫全切术患者25例,作为此次研究对象。观察两组患者手术时间、术中出血量、住院时间、以及术后下床活动时间指标的对比情况。结果 LAVH组患者在手术时间以及术中出血量指标的对比上与TAH组患者差异无统计学意义(P>0.05);但是,LAVH组患者住院时间为(4.1±1.2)d、术后下床活动时间为(19.1±8.7)h,组明显优于TAH组的(9.5±2.7)d和(32.1±9.8)h,组间对比差异有统计学意义(P<0.05)。结论腹腔镜辅助下阴式子宫切除术与传统的开腹子宫全切术相比,具有术后恢复快、住院时间短等优势,因此,应将其应用于子宫切除患者的临床治疗中,值得在临床实践中进行大范围的推广和使用。

Objective To investigate the clinical efficacy of laparoscopic assisted vaginal hysterectomy(LAVH) and conventional open hysterectomy(TAH).Methods Twenty-five patients with vaginal hysterectomy were enrolled in the Department of Obstetrics and Gynecology in our hospital from January 2013 to August 2016,and 25 patients with open hysterectomy were convenient selected as the subjects.The operation time,intraoperative blood loss,hospitalization time and the time of postoperative movement time were compared between the two groups.Results There was no significant difference between the operation time and the intraoperative blood loss in the LAVH group(P>0.05).However,The patients in the LAVH group were hospitalized for(4.1±1.2)d,and the time of bed activity was(19.1±8.7)h,and the group was significantly better than those in the TAH group(9.5±2.7)d and(32.1±9.8)h,compared with the control group,the LAVH group,and there was significant difference between the two groups.statistically significant(P<0.05).Conclusion Laparoscopic assisted vaginal hysterectomy compared with the traditional open hysterectomy,with rapid postoperative recovery,short hospital stay and other advantages,therefore,should be applied to the clinical treatment of patients with hysterectomy,it is worth Clinical practice in a wide range of promotion and use.