腹腔镜下全子宫切除术与经腹全子宫切除术治疗子宫疾病的效果对比分析

Comparative Analysis of Laparoscopic Hysterectomy and Transabdominal Hysterectomy in the Treatment of Uterine Diseases

目的研究腹腔镜下全子宫切除术与经腹全子宫切除术治疗子宫疾病的效果对比分析。方法选取该院在2017年7月—2019年6月期间接收全子宫切除术的90例子宫疾病患者作为该次研究对象。将以上患者随机分成两组进行对比实验。观察两组患者对手术治疗方案的评价,将评价分为非常满意、满意、一般、不满意4个等级。观察两组患者术后并发症的比例。观察两组患者手术时间、术中出血量、肛门排气时间、术后体温、住院时间等。结果采用观察组手术治疗方案的患者的总满意度为97.78%,采用对照组手术治疗方案患者的总满意度为82.22%,有此可见,观察组的手术治疗方案满意度高(χ2=4.444,P=0.035);采用观察组的手术治疗方案的患者共有2例出现并发症,所占比例为4.44%,采用对照组的手术治疗方案的患者共有10例出现并发症,所占比例为22.22%,由此可见,观察组的手术治疗方案的并发症比例更低(P<0.05);采用两组不同的手术方式治疗,其手术时间、术中出血量差异无统计学意义(P>0.05)。但观察组的术后肛门排气时间比对照组要短,术后体温也比对照组低,住院时间比对照组短,由此可以看出,观察组的手术治疗方案更佳,差异有统计学意义(P<0.05)。结论经研究发现,腹腔镜下全子宫切除术具有损伤小、病人痛苦少、手术效果好、住院时间短,治疗费用低,术后并发症发生低恢复快等优点,值得在临床中推广使用。

Objective To study the comparative analysis of laparoscopic hysterectomy and transabdominal hysterectomy in the treatment of uterine diseases.Methods Ninety patients with uterine disease who underwent total hysterectomy between July 2017 and June 2019 were selected as the subjects of this study.The above patients were randomly divided into two groups for comparison experiments.Observe the evaluation of the surgical treatment plan of the two groups of patients,and divide the evaluation into four levels of very satisfactory,satisfactory,average,and unsatisfactory.Observe the proportion of postoperative complications in the two groups of patients.Observe the operation time,intraoperative blood loss,anal exhaust time,postoperative body temperature,and hospital stay in the two groups.Results The total satisfaction rate of the patients in the observation group was 97.78%,and the total satisfaction rate of the patients in the control group was 82.22%.It can be seen that the satisfaction rate of the surgical group in the observation group was high(χ2=4.444,P>0.05);A total of two patients with surgical treatment in the observation group had complications,accounting for 4.44%,and a total of 10 patients with surgical treatment in the control group had complications,accounting for 22.22%,which showed that in the observation group,the complication rate of the surgical treatment plan was lower(P<0.05);when the two groups were treated with different surgical methods,there was no statistically significant difference in the operation time and intraoperative blood loss(P>0.05).However,the postoperative anal exhaust time in the observation group was shorter than that in the control group,the postoperative body temperature was lower than that in the control group,and the length of hospital stay was shorter than that in the control group.It can be seen that the surgical treatment plan in the observation group was better,and the difference was statistically significant(P<0.05).Conclusion It is found through research that laparoscopic hysterectomy has the advantages of less damage,less patient suffering,good surgical effect,shorter hospital stays,low treatment cost,low postoperative complications,and fast recovery.