腹腔镜下全子宫切除术与阴式全子宫切除术临床随机对照分析

Clinical Analysis of Laparoscopic Total Hysterectomy and Vaginal Hysterectomy: A Randomized Controlled Trial

目的:研究腹腔镜下全子宫切除术与阴式全子宫切除术的临床效果。方法:随机选取阳江市人民医院2014年2月至2016年5月收治的169例子宫良性病变患者,分为对照组与观察组。对照组84例,行腹腔镜下全子宫切除术。观察组85例,行阴式全子宫切除术。比较两组患者手术观察指标与并发症发生率。结果:观察组手术时间、肛门排气时间、住院时间均短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。观察组并发症发生率(3.5%)低于对照组(4.8%),差异无统计学意义(P>0.05)。结论:与腹腔镜下全子宫切除术相比,阴式全子宫切除术可有效改善患者的手术指标与术后指标,且不会增加并发症的发生几率,可作为子宫良性病变的首选临床治疗方式。

Objective To compare the clinical effect of laparoscopic total hysterectomy and vaginal hysterectomy.Methods Randomly selected in our hospital in February 2014 to May 2016 treated 169 cases of benign lesions of the uterus, divided into control group and observation group. In the control group, 84 cases were treated by laparoscopic hysterectomy. In the observation group, 85 cases were performed vaginal hysterectomy. Comparison of 2 groups of patients with surgery to observe the indicators and the incidence of complications. Results The operation time, anal exhaust time and hospitalization time of observation group were shorter than that of control group, the amount of bleeding was less than that of control group, and the difference was significant（P〈0.05）. The incidence rate of complications in the observation group（3.5 %） was lower than that in the control group（4.8 %）, and the difference was not statistically significant（P〉0.05）. Conclusion Compared with laparoscopic hysterectomy, vaginal hysterectomy resection surgery can effectively improve the patients with indications for surgery and postoperative indicators, and does not increase the complication the occurrence probability, regarded as the preferred clinical treatment for benign uterine diseases.