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目的:探讨腹腔镜辅助阴式大子宫切除术的临床应用价值。方法:将100例子宫良性疾病患者按照手术方法平分为A组(腹腔镜辅助阴式大子宫切除术)与B组(传统开腹手术),比较两组患者的临床效果与并发症情况。结果:A组术中失血量与手术时间分别为(89.01±38.43)ml和(84.06±12.47)min,与B组〔(132.09±71.90)ml和(96.08±11.69)min〕比较,差异有统计学意义(P<0.05);A组术后体温、肠功能恢复时间、肛门排气时间、住院时间及并发症发生率分别为(36.7±0.2)℃、(13.4±4.9)天、(20.2±4.5)h、(4.1±1.0)天和16.00%,与B组〔(37.9±0.6)℃、(28.6±5.6)天、(41.8±6.9)h、(8.0±2.2)天、58.00%〕比较,差异有统计学意义(P<0.05)。结论:腹腔镜辅助阴式大子宫切除术具有操作快捷、创伤轻微、恢复时间短及术后并发症少等优点,安全可靠,值得临床上进一步推广应用。
Objective: To investigate the clinical value of laparoscopic assisted vaginal hysterectomy. Methods: One hundred patients with benign uterine disease were divided equally into group A (laparoscopic assisted vaginal hysterectomy) and group B (traditional laparotomy) according to the operation method. The clinical effects and complications of the two groups were compared. Results: The intraoperative blood loss and operative time in group A were (89.01 ± 38.43) ml and (84.06 ± 12.47) min, respectively, which were statistically different from those in group B (132.09 ± 71.90) ml and (96.08 ± 11.69) min (36.7 ± 0.2) ℃, (13.4 ± 4.9) days and (20.2 ±) days after operation in group A (P0.05) .After operation, the body temperature, recovery time of intestinal function, time of anal exhaust, length of hospital stay and complications in group A were (36.7 ± 0.2) (4.1 ± 1.0) days and 16.00% compared with those in group B (37.9 ± 0.6 ℃, 28.6 ± 5.6 days, (41.8 ± 6.9) h, (8.0 ± 2.2) days, 58.00% , The difference was statistically significant (P <0.05). Conclusion: Laparoscopic assisted vaginal hysterectomy has the advantages of quick operation, minor trauma, short recovery time and less postoperative complications, which is safe and reliable and worth further promotion and application in clinic.