腹腔镜辅助阴式全子宫切除术和传统开腹手术治疗巨大子宫肌瘤的差异分析

Advantages and Disadvantages of Laparoscopic Assisted Vaginal Hysterectomy and Traditional Open Surgery for Giant Uterine Fibroids

目的分析腹腔镜辅助阴式全子宫切除术和传统开腹手术治疗巨大子宫肌瘤的优劣差异。方法选取2012年1月—2017年5月间惠州市中心人民医院收治的120例巨大子宫肌瘤患者作为研究对象,按数字表法分为对照组和观察组,每组60例患者。对照组实施开腹全子宫切除术,观察组实施腹腔镜辅助阴式全子宫切除术,对两组手术情况及术后并发症情况进行比较。结果观察组手术时间、术中出血量、术后排气时间及下床活动时间、住院时间同对照组比较,组间差异有统计学意义(P<0.05);比较两组术后并发症发生率的差异,观察组低于对照组(P<0.05)。结论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、安全性、术后恢复情况均优于传统开腹手术,可作为理想手术方案推广应用。

Objective To analyze the difference between the advantages and disadvantages of laparoscopic assisted vaginal hysterectomy and traditional open surgery for giant uterine fibroids. Methods 120 patients with giant uterine fibroids admitted to the hospital from January,2012 to May,2017 were selected as the study subjects. The patients were divided into the control group and the observation group according to the digital table method , with 60 patients in each group. The control group were treated with open laparoscopic hysterectomy,and the observation group underwent laparoscopic assisted vaginal hysterectomy surgery and postoperative complications of two groups were compared. Results The operation time,intraoperative blood loss,postoperative exhaust time,time to get out of bed,and hospitalization time in the observation group were compared with the control group. The results showed statistically significant differences between the two groups(P<0.05). The difference in the incidence of postoperative complications was lower in the observation group than in the control group(P<0.05). Conclusion Laparoscopic assisted vaginal hysterectomy for the treatment of giant uterine fibroids is superior to traditional open surgery in terms of clinical efficacy,safety and postoperative recovery. It can be used as an ideal surgical procedure.