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目的研究对比阴式子宫全切术和腹腔镜子宫全切术的疗效及并发症情况。方法 156例行子宫切除术的患者,随机分成观察组(87例)和对照组(69例),观察组采用腹腔镜子宫全切术治疗,对照组采用阴式子宫全切术治疗,对两组患者疗效和并发症进行比较。结果与对照组比较,观察组手术时间短、术中出血量少,差异有统计学意义(P<0.05);观察组术后疼痛时间(22.97±5.98)h和术后肛门排气时间(6.26±0.38)h显著少于对照组的(31.17±4.02)h、(7.10±0.52)h,差异有统计学意义(P<0.05);观察组出现并发症4例,对照组出现并发症2例,差异无统计学意义(P>0.05)。结论阴式子宫全切术和腹腔镜子宫全切术临床疗效基本一致,但腹腔镜子宫全切术用时短,术中出血量少,术后疼痛时间短,临床可根据患者病情选择合适的方式进行手术。
Objective To compare the curative effect and complications of vaginal hysterectomy and laparoscopic hysterectomy. Methods 156 cases of hysterectomy patients were randomly divided into observation group (87 cases) and control group (69 cases). The observation group was treated by laparoscopic hysterectomy. The control group was treated by vaginal hysterectomy. Group patients efficacy and complications were compared. Results Compared with the control group, the observation group had less operation time and less intraoperative blood loss, the difference was statistically significant (P <0.05). The pain time (22.97 ± 5.98) h and postoperative anal exhaust time (6.26 ± 0.38) h was significantly less than that in the control group (31.17 ± 4.02) h and (7.10 ± 0.52) h respectively, with significant difference (P <0.05). Complications occurred in 4 cases in the observation group and 2 cases in the control group , The difference was not statistically significant (P> 0.05). Conclusion The results of vaginal hysterectomy and laparoscopic hysterectomy are basically the same, but laparoscopic hysterectomy with short time, less blood loss, short duration of postoperative pain, the clinical choice of patients according to the appropriate way Surgery.