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目的 :分析阴式子宫切除术及腹腔镜辅助阴式子宫切除术的临床应用效果。方法:将130例患者按照手术方式的不同分为观察组和对照组,各65例,分别给予腹腔镜辅助阴式子宫切除术及阴式子宫切除术,对比两组患者手术效果。结果:观察组患者手术时间较对照组长,术中出血量较对照组少,住院时间较对照组明显缩短,肛门排气时间及下床活动时间较对照组明显缩短,术中中转开腹率1.5%明显低于对照组中转开腹率10.8%,差异具有统计学意义(P<0.05);两组并发症发生率对比(P>0.05)。结论:阴式子宫切除术及腹腔镜辅助阴式子宫切除术均具有显著效果,而腹腔镜辅助阴式子宫切除术结合腹腔镜与阴式子宫切除术的优势。
Objective: To analyze the clinical effect of vaginal hysterectomy and laparoscopic assisted vaginal hysterectomy. Methods: One hundred and thirty-five patients were divided into observation group and control group according to the different surgical methods. Each group was given laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy respectively. The operative effect was compared between the two groups. Results: The operation time of the observation group was shorter than that of the control group. The amount of bleeding during the operation was less than that of the control group. The hospitalization time was significantly shorter than that of the control group. The anus exhaust time and ambulation time were significantly shorter than those of the control group. 1.5% was significantly lower than the control group, the rate of laparotomy 10.8%, the difference was statistically significant (P <0.05); the incidence of complications in both groups (P> 0.05). Conclusion: Vaginal hysterectomy and laparoscopic assisted vaginal hysterectomy have significant effect, and laparoscopic assisted vaginal hysterectomy combined with the advantages of laparoscopy and vaginal hysterectomy.