经腹和经阴道腹腔镜腹辅助的全子宫切除术临床探讨

The Clinical Study of Abdominal and Transvaginal Laparoscopy Assisted Total Hysterectomy

目的比较分析在子宫良性病变患者治疗中应用经阴道腹腔镜辅助的全子宫切除术与经腹全子宫切除术的临床效果。方法将2016年3月—2017年8月我院收治的250例子宫良性病变患者纳入本次研究,按照不同手术方式分成经阴道腹腔镜腹辅助组(n=125)和经腹组(n=125),对两组患者分别实施经阴道腹腔镜辅助的全子宫切除术和经腹全子宫切除术。结果经阴道腹腔镜腹辅助组患者的肠道功能恢复时间、下床活动时间、住院时间、疼痛评分与经腹组相比,差异有统计学意义(P<0.05),且经阴道腹腔镜腹辅助组优于经腹组。结论与经腹全子宫切除术相比,在子宫良性病变患者治疗中实施经阴道腹腔镜辅助的全子宫切除术的临床效果较为显著。

Objective To compare and analyze the clinical effect of transvaginal laparoscopic assisted hysterectomy and total abdominal hysterectomy in the treatment of benign uterine diseases. Methods From March 2016 to August 2017, 250 patients with benign uterine diseases were included in this study. According to different surgical procedures, they were divided into transvaginal laparoscopy assisted abdominal group(n=125) and transabdominal group(n=125). Transvaginal hysterectomy and abdominal total hysterectomy were performed on two groups of patients. Results There was a statistically significant difference in bowel function recovery time, ambulation time, hospitalization time and pain score between transvaginal laparoscopy assisted group and abdominal group(P<0.05). The vaginal laparoscope abdominal assistant group was superior to the abdominal group. Conclusion Compared with abdominal total hysterectomy, vaginal hysteroscopy assisted total hysterectomy is more effective in the treatment of benign uterine lesions.