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目的对经阴道及腹腔镜辅助阴式两种术式切除子宫的临床治疗效果进行分析。方法 60例进行子宫切除术患者作为本次研究对象,随机分为观察组与对照组,各30例。对照组采用传统的经阴道阴式子宫切除术,观察组采用腹腔镜辅助阴式子宫切除术,观察两种手术方式的患者临床治疗效果。结果两组患者的手术均成功完成,两组术后排气时间、并发症发生情况比较差异无统计学意义(P>0.05);观察组术中出血量(148.2±15.3)ml、手术时间(73.1±5.9)min、住院时间(4.4±0.8)d、住院费用(5321.6±137.4)元明显少于对照组,比较差异均有统计学意义(P<0.05)。结论腹腔镜辅助阴式子宫切除术的子宫切除手术方式能够有效减少常规手术中视野局限的弊端,能够有效减少在手术过程中的出血量以及手术时间,因此,对于不适合做常规手术的患者,可以采用此方式进行手术,该种手术方式的应用具有较高的医学价值,可广泛使用。
Objective To analyze the clinical effects of transvaginal and laparoscopic assisted vaginal surgery in the removal of the uterus. Methods 60 cases of hysterectomy patients as the study object, were randomly divided into observation group and control group, each 30 cases. In the control group, the traditional transvaginal vaginal hysterectomy was used. The observation group was assisted by laparoscopy assisted vaginal hysterectomy. The clinical effects of the two surgical methods were observed. Results The operation of the two groups of patients was successfully completed. There was no significant difference in postoperative exhaust time and complications between the two groups (P> 0.05). The intraoperative blood loss (148.2 ± 15.3) ml and the operation time 73.1 ± 5.9) min, hospital stay (4.4 ± 0.8) d, and hospitalization cost (5321.6 ± 137.4) yuan were significantly less than those in the control group (P <0.05). Conclusions Laparoscopic assisted vaginal hysterectomy hysterectomy can effectively reduce the limitations of routine surgery, can effectively reduce the amount of bleeding during surgery and the operation time, therefore, for patients who are not suitable for routine surgery, This method can be used for surgery, the application of this surgical method has a high medical value, can be widely used.