改良式全腹腔镜下大子宫切除术临床效果分析

Analysis of the clinical effect of modified total laparoscopic hysterectomy

目的:改良式全腹腔镜下大子宫切除术(MTH)与腹腔镜辅助经阴道大子宫切除术(LVTH)的临床疗效比较。方法:收集本院2015年6月—2018年10月因子宫肌瘤等良性疾病致子宫增大(≥孕12周)接受大子宫切除术患者56例临床资料,根据手术方式分为MTH组(16例)和LAVH组(40例),比较两组手术相关情况。结果:两组手术时间、术后排气时间无差异(P>0.05);MTH组术中出血量(133.2±81.7ml)、住院时间(6.2±1.1d)、下床活动时间(17.1±4.6h)、住院费用(10838.6±2031.3元)低于LAVH组,治疗后患者满意度(93.8%)高于LAVH组(65.0%),并发症总发生率(0.0%)低于LAVH组(22.5%)(均P<0.05)。结论:改良式全腹腔镜下大子宫切除术治疗是一种对人体损伤小、恢复快且安全可行的手术方式,可临床推广应用。

Objective:To compare the clinical effect of modified total laparoscopic hysterectomy(MTH)and laparoscopic assisted transvaginal hysterectomy(LATH).Methods:The data of 56 patients who underwent hysterectomy due to uterine enlargement(≥12 gestational weeks)caused by uterine benign diseases such as uterine fibroids were collected from June 2015 to October 2018,and the patients were divided into MTH group(16 cases)and LATH group(40 cases)according to the surgical methods.The conditions related to operation of patients in the two groups were compared.Results:There was no significant different in the operative time and postoperative exhaust time of patients between the two groups(P>0.05).The intraoperative blood loss(133.2±81.7 ml),time of stay hospital(6.2±1.1 d),time of activities leaved from the bed(17.1±4.6 h),and cost of stay hospital(10838.6±2031.3 RMB)in MTH group were significant lower than those in LATH group.The satisfaction degree of patients after treatment in MTH group was 93.8%,which was significant higher than that(65.0%)of patients in LATH group,and the overall incidence of complications of patients in MTH group was 0.0%,which was significant lower than that(22.5%)of patients in LAVH group(P<0.05).Conclusion:MTH is a safety operation with little damage to human body,which can improve the recovery of patients,so it should be widely clinical application.