| 冯伟伟 施浩帆 苏妍 于津 无为.阴式全子宫切除术和腹腔镜下全子宫切除术的临床对比分析[J].,2016,16(13):2472-2474 |
| 阴式全子宫切除术和腹腔镜下全子宫切除术的临床对比分析 |
| Clinical Comparison between Vaginal Hysterectomy and Laparoscopic TotalHysterectomy |
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| DOI： |
| 中文关键词: 阴式全子宫切除术 腹腔镜下全子宫切除术 子宫良性病变 临床疗效 |
| 英文关键词: Vaginal hysterectomy Laparoscopic total hysterectomy Benign uterine lesions Clinical effect |
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| 中文摘要: |
| 目的：比较阴式全子宫切除术与腹腔镜下全子宫切除术的临床治疗效果。方法：回顾性分析2014 年6 月-2015 年6 月我院
收治的137 例子宫良性病变患者的临床病历资料，按照手术方式将其分为阴式组（行阴式全子宫切除术）和腹腔镜组（行腹腔镜
下全子宫切除术），比较两组患者的术中、术后临床指标及术后并发症情况。结果：阴式组手术时间及术中出血量均少于腹腔镜
组，差异有统计学意义（P<0.05）。阴式组肛门排气时间、下床活动时间以及住院时间均短于腹腔镜组，住院总费用低于腹腔镜组，
差异有统计学意义（P<0.05）。两组患者并发症发生情况差异无统计学意义（P>0.05）。结论：阴式全子宫切除术较腹腔镜下全子宫
切除术而言，具有手术创伤小、术后恢复快的特点，值得临床推广。 |
| 英文摘要: |
| Objective:To compare the clinical effect of vaginal hysterectomy and laparoscopic total hysterectomy.Methods:The
data of 137 patients with benign uterine lesions in our hospital fromJune 2014 to June 2015 were retrospectively analyzed, they were divided
into vaginal group(underwent vaginal hysterectomy) and laparoscopic group(underwent laparoscopic total hysterectomy) according
to the operation type, then compared the clinical indexes during and after operation and the complications after operation between two
groups.Results:The operation time and intraoperative blood loss in vaginal group were less than laparoscopic group, the differences
were statistically significant (P<0.05). The anal exhaust time, get out of bed activity time and hospitalization time in vaginal group were
shorter than laparoscopic group, and the total cost of hospitalization was lower than laparoscopic group, the differences were statistically
significant (P<0.05). The incidence of complications between two groups had no statistical difference (P>0.05).Conclusion:Compared
with laparoscopic total hysterectomy, vaginal hysterectomy has the characteristics of less trauma, good for postoperative recovery, which
is worthy of promotion in clinical field. |
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