两种不同子宫全切除手术方式治疗巨大子宫肌瘤的临床疗效比较

Comparison of clinical efficacy of two different total hysterectomy for giant uterine fibroids

目的对两种不同子宫全切除手术方式治疗巨大子宫肌瘤的临床效果进行分析比较,探讨最佳治疗途径,减少并发症。方法对本院2014年1月~2016年12月收治的巨大子宫肌瘤在患者中筛选107例参与本次研究,按照治疗方式的不同将患者分成两组,对照组采用传统的开腹子宫全切除术,观察组实施腹腔镜辅助阴式全子宫切除术。结果术后统计患者排气时间、下床活动时间,观察组均明显低于对照组差异有统计学意义(P<0.05)。对比两组患者的手术操作的出血量、手术操作时间,观察组均明显低于对照组,差异有统计学意义(P<0.05)。术后不良反应发生率统计,观察组均明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜辅助阴式子宫切除术治疗巨大子宫肌瘤手术的操作时间短、手术操作中出血量较少,由于手术微创创口小,术后的并发症少,利于患者的预后,加速患者的恢复,安全性较高,保障患者的健康,值得临床推广。

Objective To compare and analyze the clinical effects of two different hysterectomy methods for thetreatment of huge fibroids,and to explore the best way to reduce complications.Methods Large uterine fibroids inour hospital from January2014to December2016were in patients with a total of107patients participated in thisstudy,according to the different treatment of the patients were divided into two groups,the control group using thetraditional abdominal hysterectomy,the observation group received laparoscopic vaginal total hysterectomy.ResultsPatients with postoperative exhaust time,ambulation time,observation group were significantly lower than the controlgroup(P<0.05),with statistical significance.The amount of bleeding of operation were compared between two groupsof operationThe observation group was significantly lower than that of the control group(P<0.05),and the statisticalsignificance was significant.The incidence of adverse reactions after operation was statistically lower in the observationgroup than in the control group(P<0.05),which was statistically significant.Conclusion The operation time oflaparoscopic vaginal hysterectomy surgical treatment of large uterine fibroids short operation,less bleeding,minimallyinvasive surgery because of small wound,postoperative complications,conducive to the prognosis of patients,acceleratethe recovery of patients,high safety,protect the health of pati ents,is worthy of promotion.