腹腔镜下全子宫切除术与开腹全子宫切除术临床疗效对比研究

Comparative Study of Clinical Efficacy of Laparoscopic Hysterectomy and Open Hysterectomy

目的研究腹腔镜下全子宫切除术与开腹全子宫切除术临床疗效。方法方便选取该院2016年4月—2018年4月期间收治的行全子宫切除术患者90例,依据手术方法的不同,分为实验组和参照组,各组患者45例;参照组采用传统开腹全子宫切除术,实验组采用腹腔镜下全子宫切除术,对比两组患者的临床疗效。结果实验组的住院时间、术中出血量、肛门通气时间[(5.1±1.8)d、(56.4±17.3)mL、(0.1±1.4)d]显著少于参照组[(7.6±1.4)d、(70.5±18.1)mL、(2.1±0.3)d],差异有统计学意义(t=7.354 3、3.777 6、9.370 4,P=0.000 0、0.000 3、0.000 0<0.05),实验组的手术时间(75.5±7.6)min显著长于参照组(71.3±5.3)min,差异有统计学意义(t=3.040 7,P=0.003 1<0.05),实验组手术治疗后的VAS疼痛评分(1.8±0.9)分显著低于参照组(2.5±1.1)分,差异有统计学意义(t=3.303 9,P=0.001 4<0.05),实验组的并发症产生情况(4.44%)显著少于参照组(20.00%),差异有统计学意义(χ2=5.074 8,P=0.024 2<0.05)。结论腹腔镜下全子宫切除术可有效治疗多种良性妇科疾病,治疗效果十分显著,该治疗方法可以加大临床应用力度。

Objective To study the clinical efficacy of laparoscopic hysterectomy and open hysterectomy. Methods A total of 90 patients undergoing total hysterectomy from April 2016 to April 2018 in our hospital were convenient enrolled. According to the different surgical methods, they were divided into experimental group and reference group, with 45 patients in each group. The reference group was traditionally opened abdominal hysterectomy, the experimental group used laparoscopic hysterectomy, comparing the clinical efficacy of the two groups of patients. Results The length of hospital stay, intraoperative blood loss, and anal ventilation time [(5.1±1.8)d,(56.4±17.3)mL,(0.1±1.4)d] were significantly less than the reference group [(7.6±1.4)d,(70.5±18.1)mL,(2.1±0.3)d], statistically significant (t=7.354 3, 3.777 6, 9.370 4, P=0.000 0, 0.000 3, 0.000 0<0.05), the operation time of the experimental group (75.5±7.6)min was significantly longer than the reference group (71.3±5.3)min, with statistical significance (t=3.040 7, P=0.003 1<0.05), the VAS pain score (1.8±0.9)points after surgery in the experimental group was significantly lower than the reference group (2.5 ±1.1)points, which was statistically significant (t=3.303 9, P=0.001 4 <0.05), the complication of the experimental group (4.44%) was significantly less than the reference group (20.00%), with statistical significance (X^2=5.074 8, P=0.024 2 <0.05). Conclusion Laparoscopic hysterectomy can effectively treat a variety of benign gynecological diseases, and the treatment effect is very significant. This treatment can increase the clinical application.