腹腔镜下不同术式子宫切除术的临床效果观察

Clinical effect observation of different laparoscopic hysterectomy

目的 探讨腹腔镜下不同术式子宫切除术的临床效果。方法 回顾性选取本院收治的48例经腹腔镜辅助阴式切除术治疗的子宫疾病患者作为对照组,同期选取51例经腹腔镜常规术式治疗的子宫疾病患者作为研究组。对两组手术及康复指标,术后并发症发生情况进行对比分析。结果 研究组的术中出血量少于对照组,手术时间、排气时间、下床时间、住院时间短于对照组,但差异无统计学意义(P>0.05)。术后并发症发生率研究组与对照组比差异无统计学意义(P>0.05)。结论 子宫疾病患者通过腹腔镜辅助下阴式切除术和腹腔镜常规术式治疗都可以满足患者治疗的需要,且具有一定的安全性,临床可根据患者的实际情况合理的选择两种术式。

Objective To investigate the clinical effects of different laparoscopic hysterectomy. Methods A total of 48cases of uterine diseases treated by laparoscopic-assisted vaginal hysterectomy in our hospital were retrospectively selected as the control group, and 51 cases of uterine diseases treated by conventional laparoscopic surgery in the same period were selected as the research group. The operation and rehabilitation indicators, and postoperative complications in the two groups were compared and analyzed. Results The amount of intraoperative bleeding in the research group of conventional surgery was less than that in the control group, and the surgery time, exhaust time, bed time and hospital time were shorter than those in the control group, but the differences were not statistically significant(P>0.05). There was no significant difference in the incidence of postoperative complications between the research group and the control group(P>0.05). Conclusion Patients with uterine diseases can meet the needs of patient treatment through laparoscopic-assisted vaginal hysterectomy and laparoscopic conventional surgical treatment, and both can meet the requirements of safe treatment. In clinical practice, two surgical procedures can be reasonably selected according to the actual situation of patients.