腹腔镜下子宫全切与经腹子宫全切的临床对比

Clinical Comparison of Laparoscopic Total Hysterectomy and Transabdominal Hysterectomy

目的对比腹腔镜下子宫全切与经腹子宫全切的临床效果。方法选取该院2017年1月—2019年12月期间收治的60例子宫良性疾病患者作为研究对象,所有患者均接受子宫切除手术治疗,将所有患者分为对照组和观察组,每组30例。其中对照组接受经腹子宫全切手术治疗,观察组接受腹腔镜子宫全切手术治疗,对比两组患者的平均手术时间、平均住院时间、平均术中出血量以及平均肛门首次排气时间,术后并发症发生情况等,比较治疗效果。结果经治疗,观察组患者的平均手术时间为(63.3±19.9)min、平均住院时间为(4.3±1.3)d、平均术中出血量为(72.3±31.9)mL以及平均肛门首次排气时间(22.3±1.8)h均显著低于对照组,差异有统计学意义(t=8.287、5.879、12.625、9.219,P<0.05);此外,观察组的患者在术后出现并发症3例,并发率为10%,显著低于对照组10例(33%),差异有统计学意义(χ2=10.250,P<0.05)。结论对于子宫疾病患者的治疗,腹腔镜子宫切除手术在临床上具有明显的优势,能显著减少患者的住院时间,节省医疗费用,同时有效改善患者的症状,起到良好预后的作用。

Objective To compare the clinical effects of laparoscopic total hysterectomy and transabdominal hysterectomy.Methods A total of 60 patients with uterine benign diseases admitted to the hospital from January 2017 to December 2019 were selected as the research objects.All patients received hysterectomy surgery.All patients were divided into control group and observation group,with 30 cases in each group.The control group received transabdominal hysterectomy,and the observation group received laparoscopic hysterectomy.The average operation time,average hospital stay,average intraoperative blood loss and average first air exhaust time of the two groups were compared.Comparing the effects of treatment after complications.Results After treatment,the average operation time of the observation group was(63.3±19.9)min,the average hospitalization time was(4.3±1.3)d,the average intraoperative blood loss was(72.3±31.9)mL,and the average anal first exhaust time(22.3±1.8)h were significantly lower than those in the control group,and the differences were statistically significant(t=8.287,5.879,12.625,9.219,P<0.05);in addition,patients in the observation group had 3 complications after surgery,the concurrency rate was 10%,which was significantly lower than 10 cases(33%)in the control group.The difference was statistically significant(χ2=10.250,P<0.05).Conclusion For the treatment of patients with uterine diseases,laparoscopic hysterectomy has obvious advantages in clinical practice.It can significantly reduce the patient's hospitalization time,save medical expenses,and effectively improve the symptoms of patients and play a good prognostic role.