腹腔镜下子宫全切与经腹子宫全切的临床效果比较

To Compare the Clinical Effect of Laparoscopic Total Hysterectomy and Transabdominal Hysterectomy

目的研究分析腹腔镜子宫全切和经腹子宫全切手术的临床治疗效果。方法选取我院接收的94例子宫良性疾病患者作为研究对象。所有患者均接收子宫切除手术治疗,将所有患者分为对照组和观察组,每组各47例患者。观察组接受腹腔镜子宫全切手术治疗,对照组接受经腹子宫全切手术治疗。结果对照组患者的平均手术时间为(71.2±5.7)min、平均术中出血量为(205.2±32.4)ml、平均肛门首次排气时间为(36.2±3.7)h、平均住院时间为(7.2±1.7)d,术后35例(74.46%)接受镇痛治疗;观察组各指标分别为(103.8±14.5)min、(125.2±24.2)ml、(24.5±1.8)h、(5.7±1.1)d、26例(55.31%)。两组各指标对比,差异均具有统计学意义(P<0.05)。结论腹腔镜子宫切除手术的临床优势非常大,对于各类良性病变导致的需要子宫全切患者具有非常好的效果。

Objective To investigate and analyze the clinical effects of laparoscopic total hysterectomy and transabdominal hysterectomy. Methods 94 cases of benign uterine diseases received in our hospital were selected as the study subjects. All patients received hysterectomy, and all the patients were divided into the control groupand the observation group, 47 patients in each group. The observation group received laparoscopic hysterectomy, the control group received transabdominal hysterectomy. Results According to the average operation time were （71.2 ± 5.7） min, the average amount of bleeding was （205.2 ± 32.4） ml, average anal exhaust time was （36.2 ± 3.7） h, the average hospitalization time was （7.2± 1.7） d, 35 cases （74.46%） received postoperative analgesic therapy. The indexes of the observation group were （103.8 ± 14.5） min, （125.2 ±24.2） ml, （24.5 ± 1.8） h, （5.7 ± 1.1） d, and 26 cases （55.31%）. The difference between the two groups was statistically significant （P 〈 0.05）. Conclusion Laparoscopic hysterectomy has a very large clinical advantage, and has a very good effect on all kinds of benign lesions requiring hysterectomy.