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目的探讨腹腔镜辅助阴式子宫切除术的临床应用价值。方法子宫良性病变患者248例,其中腹腔镜辅助下阴式子宫全切术病例58例,开腹子宫全切术病例190例,对比两组的手术时间、术中出血量、术后恢复情况、术后并发症及平均住院时间。结果与开腹子宫切除组相比,腹腔镜辅助阴式子宫切除术组病例术后最高体温、肛门排气时间均明显低于开腹组(P<0.05),两组手术时间、术中出血量、住院天数无差异(P>0.05)。结论腹腔镜辅助阴式子宫切除术具有腹腔镜及阴式手术共同的优点,优于传统经腹子宫全切术。
Objective To investigate the clinical value of laparoscopic assisted vaginal hysterectomy. Methods 248 patients with benign uterine lesions, including laparoscopic assisted vaginal hysterectomy in 58 cases, open hysterectomy in 190 cases, compared the two groups of operation time, blood loss, postoperative recovery, Postoperative complications and average length of stay. Results Compared with the open hysterectomy group, the patients with laparoscopic assisted vaginal hysterectomy group had significantly lower postoperative maximal body temperature and anal exhaust time than the open group (P <0.05). The operative time, intraoperative bleeding There was no difference in the number of hospitalization days (P> 0.05). Conclusions Laparoscopic assisted vaginal hysterectomy has the advantages of laparoscopy and vaginal surgery, which is better than the traditional abdominal hysterectomy.