不同方式子宫切除术的临床效果探讨

Study on Clinical Effect of Different Methods of Hysterectomy

目的探讨经腹子宫切除术、阴式子宫切除术和腹腔镜下子宫切除术的临床效果及应用价值。方法方便选取2013年6月—2017年6月该院妇科146收治的例子宫切除患者为例,根据手术方式分为A组(经腹子宫切除术,58例)、B组(阴式子宫切除术,30例)、C组(腹腔镜下子宫切除术,58例)3组。观察3组疗效。结果 A、B、C 3组手术成功率分别为100.0%、100.0%、98.3%,比较差异无统计学意义(P>0.05)。A组手术时间(88.4±15.2)min,术中出血量(245.5±23.1)m L,术后排气时间(37.6±13.3)h、术后住院时间(8.3±1.6)d,与B、C组比较差异有统计学意义(P<0.05)。A组并发症发生率(13.8%)高于B组(3.3%)和C组(3.4%),比较差异有统计学意义(P<0.05)。结论开腹、经阴或于腹腔镜下行子宫切除术均具备良好疗效,但以阴式子宫切除术和腹腔镜下子宫切除术术后恢复快、并发症少,临床应用时需根据患者病情科学选择,以保证治疗效果。

Objective To study the clinical effect and application value of transabdominal hysterectomy, transvaginal hysterectomy and laparoscopic hysterectomy. Methods 146 cases of patients with hysterectomy treated in our hospital from June 2013 to June 2017 were conveniently selected and divided into three groups, including the group A with 58 cases with transabdominal hysterectomy, the group B with 30 cases with hysterectomy and the group C with 58 cases with laparoscopic hysterectomy, and the curative effect was observed. Results The operative success rates in the group A, group B and group C were respectively 100.0%,100.0%,98.3%, and the differences were statistically significant(P>0.05), and the operation time,intraoperative bleeding amount, postoperative exhaust time, positive length of stay in the group A were respectively(88.4±15.2) min,(245.5±23.1)m L,(37.6±13.3)h and(8.3±1.6)d, and the differences among the three groups was statistically significant(P<0.05).The incidence rate(13.8%) was higher in group A(13.8%) than group B(3.3%) and group C(3.4%), and the difference was statistically significant(P<0.05).Conclusion The curative effect of transabdominal hysterectomy, Transvaginal hysterectomy and Laparoscopic hysterectomy is good, but the recovery of transvaginal hysterectomy and Laparoscopic hysterectomy is rapid with few complications, and we should select the operation method scientifically according to the practical conditions to ensure the treatment effect.