论文部分内容阅读
目的:探讨不同微创术式行全子宫切除治疗良性子宫病变及癌前病变的临床效果。方法:回顾性分析苍梧县人民医院2013年12月至2014年12月收治的103例良性子宫病变及癌前病变患者的临床资料,患者均接受全子宫切除,按照手术方式的不同分为阴式子宫切除组(51例)和腹腔镜辅助经阴道全子宫切除组(52例)。观察两组患者的围手术期相关指标和术后不良事件发生情况,并进行比较。结果:两组患者手术时间比较,差异无统计学意义(P>0.05),腹腔镜组的术中出血量、住院天数以及术后发热率和感染率均显著少于或者低于阴式组,差异具有统计学意义(P<0.05)。结论:临床利用腹腔镜辅助经阴道全子宫切除对各种良性子宫病变及癌前病变患者进行治疗较阴式子宫切除术治疗可以获得更好的临床效果。
Objective: To investigate the clinical effects of different minimally invasive surgical hysterectomy on benign uterine lesions and precancerous lesions. Methods: The clinical data of 103 patients with benign uterine lesions and precancerous lesions admitted from December 2013 to December 2014 in Cangwu County People’s Hospital were retrospectively analyzed. All patients underwent hysterectomy. According to the different surgical methods, Hysterectomy group (51 cases) and laparoscopic assisted vaginal hysterectomy group (52 cases). The perioperative indexes and postoperative adverse events of the two groups were observed and compared. Results: There was no significant difference in operative time between the two groups (P> 0.05). The intraoperative blood loss, hospitalization days, postoperative fever rate and infection rate in laparoscopic group were significantly less than or less than those in the vaginal group, The difference was statistically significant (P <0.05). Conclusion: The clinical use of laparoscopic assisted transvaginal hysterectomy in patients with a variety of benign uterine lesions and precancerous lesions treatment than vaginal hysterectomy can get better clinical results.