腹腔镜下全子宫切除术与经阴道全子宫切除术在子宫肌瘤治疗中应用效果比较

Comparison of the application effects of laparoscopic total hysterectomy and transvaginal total hysterectomy in the treatment of uterine fibroids

目的探究对子宫肌瘤患者采用腹腔镜下全子宫切除术与经阴道全子宫切除术的治疗效果。方法选取本院收治的84例子宫肌瘤患者为研究对象,按照随机数字表法分为两组,各42例。对照组采用经阴道全子宫切除术治疗,试验组采用腹腔镜下全子宫切除术治疗,比较两组临床疗效。结果试验组手术时间、下床活动时间及住院时间均短于对照组,且术中出血量少于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率明显低于对照组,差异有统计学意义(P<0.05)。结论与经阴道全子宫切除术相比,腹腔镜下全子宫切除术可有效缩短子宫肌瘤患者手术时间和住院时间,改善手术指标,降低患者术后并发症发生风险,对患者术后康复有很大益处,值得临床推广与应用。

Objective To explore the therapeutic effects of laparoscopic total hysterectomy and transvaginal total hysterectomy on patients with uterine fibroids.Method 84 patients with uterine fibroids admitted to our hospital were selected as the research subjects.They were randomly divided into two groups using a random number table method,with 42 cases in each group.The control group was treated with total vaginal hysterectomy,while the experimental group was treated with laparoscopic total hysterectomy.The clinical efficacy of the two groups was compared.Result The experimental group had shorter surgical time,mobilization time,and hospital stay compared to the control group,and the intraoperative bleeding was less than that of the control group,with statistical significance(P<0.05);The total incidence of complications in the experimental group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with transvaginal total hysterectomy,laparoscopic total hysterectomy can effectively shorten the surgical and hospitalization time of patients with uterine fibroids,improve surgical indicators,reduce the risk of postoperative complications,and have great benefits for postoperative recovery.It is worth promoting and applying in clinical practice.