巨大子宫肌瘤患者基于腹腔镜指导开展阴式全子宫切除术

Laparoscopic guided hysterectomy for patients with giant uterine fibroids

中文关键词: 巨大子宫肌瘤  腹腔镜  阴式全子宫切除术  母婴并发症

英文关键词: Giant Uterine Fibroids  Laparoscopy  Vaginal Hysterectomy  Maternal and Infant Complications

中文摘要:

      目的：巨大子宫肌瘤患者基于腹腔镜指导开展阴式全子宫切除术的临床效果观察。方法：纳入本院于2019年1月至2019年12月收治的82例巨大子宫肌瘤患者展开研究调查，参考随机动态分组法，将41例患者归为对照组院内接受传统开腹术治疗，另41例患者归为治疗组，接受院内腹腔镜阴式全子宫切除术治疗，比对两组患者在手术时间、术后首次排气时间、术后下床活动时间以及住院时间等手术相关指标。结果：治疗组的术中出血量低于对照组，手术时间、术后首次排气时间、术后下床活动时间以及住院时间均短于对照组，相应数据对比可见具有统计学意义上的差异（P<0.05）。结论：巨大子宫肌瘤患者院内基于腹腔镜指导开展阴式全子宫切除术，效果较为确切，可以促进患者康复，为其预后发展提供保证。

英文摘要:

      Objective:To observe the clinical effect of vaginal hysterectomy based on laparoscopy in patients with giant uterine fibroids.Methods:A total of 82 patients with huge uterine fibroids admitted to our hospital from January 2019 to December 2019 were investigated.With reference to the random dynamic grouping method,41 patients were classified as the control group and received traditional laparotomy in the hospital.Another 41 patients were classified into the treatment group and received laparoscopic vaginal hysterectomy in the hospital.Compare the operation-related indexes such as the operation time,the first exhaust time after the operation,the time to get out of bed after operation,and the length of hospital stay in the two groups.Results:Surgery-related indicators:The intraoperative blood loss in the treatment group was lower than that in the control group.The operation time,postoperative first exhaust time,postoperative out-of-bed activity time,and length of hospital stay were shorter than those in the control group.Differences can be seen in the corresponding data(P<0.05).Conclusion:Patients with giant uterine fibroids underwent laparoscopic hysterectomy based on laparoscopic guidance.The effect is more precise,which can promote patients'recovery and provide guarantee for their prognosis.