腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤疗效分析

Analysis of the curative effect of laparoscopic assisted vaginal hysterectomy in the treatment of giant uterine fibroids

目的:探讨腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的临床疗效。方法:选取本院在2018年2月至2021年2月收治的68例巨大子宫肌瘤患者作为研究对象,通过数字表法进行随机分组,包括对照组(n=34)和观察组(n=34),对照组开展常规开腹手术,观察组开展腹腔镜辅助阴式全子宫切除术,比较两组手术指标、住院时间以及术后并发症发生率。结果:观察组患者手术时间、术后首次排气时间、术后下床活动时间及住院时间相比对照组更短,术中失血量相比对照组更少,术后并发症发生率相比对照组更低,将数据输入至统计学软件进行检验显示差异明显(P<0.05)。结论:腹腔镜辅助阴式全子宫切除术对巨大子宫肌瘤的治疗效果确切,可有效缩短患者整体治疗时间和住院时间,并降低并发症风险,因此可应用。

Objective:To investigate the clinical efficacy of laparoscopic assisted vaginal hysterectomy in the treatment of giant uterine fibroids.Methods:Select 68 patients with huge uterine fibroids admitted to our hospital from February 2018 to February 2021 as the research objects,and randomly group them by the number table method,including the control group(n=34)and the observation group(n=34).The control group underwent conventional laparotomy,and the observation group underwent laparoscopic assisted vaginal hysterectomy.The surgical indicators,hospital stay and postoperative complications were compared between the two groups.Results:The observation group had shorter operation time,first postoperative exhaust time,postoperative time to get out of bed,and hospital stay than the control group.The intraoperative blood loss was less than that of the control group.The incidence of postoperative complications was lower than that of the control group.The control group was lower,and the data was entered into the statistical software for testing and the difference was significant(P<0.05).Conclusion:Laparoscopic assisted vaginal hysterectomy has a definite therapeutic effect on giant uterine fibroids,which can effectively shorten the overall treatment time and hospital stay of patients,and reduce the risk of complications,so it can be applied.