腹腔镜辅助下全子宫切除术与腹腔镜下全子宫切除术的临床观察

Clinical observation of laparoscopic-assisted total hysterectomy and laparoscopic total hysterectomy

目的观察腹腔镜辅助下全子宫切除术与腹腔镜下全子宫切除术的临床疗效。方法选择2016年1月至2018年12月在德兴市人民医院治疗的子宫良性病变患者75例为研究对象,应用随机数字表法分为对照组(n=37)、观察组(n=38)。对照组接受腹腔镜下全子宫切除术,观察组接受腹腔镜下阴式全子宫切除术。观察两组患者围术期指标、疼痛程度及切除子宫体积。结果观察组术中出血量、手术时间、排气时间、住院时间较对照组低,差异有统计学意义(P<0.05);观察组视觉模拟评分法(VAS)评分较对照组低,切除子宫体积较对照组高,差异有统计学意义(P<0.05);两组患者下床时间、并发症发生率相比,差异无统计学意义。结论子宫良性病变患者接受腹腔镜下阴式全子宫切除术治疗是安全、可行的,在减少手术损伤、缓解疼痛、切除子宫体积等方面优势明显。

Objective To observe the clinical efficacy of laparoscopic-assisted total hysterectomy and laparoscopic total hysterectomy.Methods 75 patients with uterine benign disease who treated in the Dexing People’ s Hospital from January 2016 to December 2018 were selected as the subjects. All selected cases were divided into control group(n=37) and observation group(n=38) by random number table method. Control group underwent laparoscopic total hysterectomy, and observation group was given laparoscopic transvaginal hysterectomy. The perioperative indexes, pain degree and volume of uterine resection in two groups of patients were observed. Results The intraoperative bleeding volume, operation time, exhaust time and hospital stays in observation group were lower than those in control group, and the difference was statistically significant(P<0.05). The score of visual analogue scale(VAS) in observation group was lower than that in control group, and the volume of uterine resection in observation group was higher than that in control group, and the difference was statistically significant(P<0.05). There was no statistical difference in the leaving bed time and the incidence of complications between two groups of patients. Conclusion Laparoscopic transvaginal hysterectomy for patients with uterine benign disease is safe and feasible, it can reduce damage, relieve pain and decrease the volume of uterine resection.