腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤临床效果

Clinical effect of laparoscopic assisted vaginal hysterectomy in the treatment of giant hysteromyoma

目的对腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的临床效果进行分析和讨论。方法选取我院2016年5月~2017年6月接收的巨大子宫肌瘤患者56例为研究对象,按照双盲随机原则将其分为两组,每组28例,其中对照组采用传统开腹全子宫切除术治疗,研究组则采用腹腔镜辅助阴式子宫全切除术治疗,比较两组患者术中和术后状况。结果研究组的术中出血量、手术操作时间、术后排气时间以及住院时间均显著优于对照组,差异统计学意义成立(P<0.05)。结论将腹腔镜辅助阴式全子宫切除术应用于巨大子宫肌瘤治疗之中,不仅可以改善患者病情,提升治疗效果,同时也可以缩短住院时间、手术时间以及排气之间,减少术中出血量,值得广泛应用和推广。

[Objective] To analyze and discuss the clinical effect of laparoscopic assisted vaginal hysterectomy in the treatment of giant uterine myoma. Methods In our hospital in May 2016 June -2017 received huge uterine myoma in 56 cases as the research object, in accordance with the double blind randomly divided into two groups, 28 cases in each group, the control group used the traditional abdominal hysterectomy treatment, the research group used laparoscopic assisted vaginal hysterectomy for the treatment of patients. Comparison of two groups and the postoperative condition. Results The operative blood loss, operative time, postoperative exhaust time and hospitalization time inthestudygroup were signifcantlybetter than thosein the control group,and the difference was statistically significant （P〈0.05）. Conclusion laparoscopic assisted vaginal hysterectomy in the treatment of largeuterinefbroids,notonlycanimprovethepatients,improvethetherapeuticeffect,butalsocanshortenthehospitalization time, operation time, exhaust, reduce the amount of bleeding, it is worthy of wide application and promotion.