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目的对腹腔镜辅助阴式子宫全切术(LAVH)与经腹子宫切除术(TAH)治疗子宫肌瘤的手术效果、安全性及优缺点进行比较。方法将2014年3月—2016年3月于商丘市第三人民医院接受LAVH治疗的80例子宫肌瘤患者作为观察组,将同期接受常规TAH治疗的76例子宫肌瘤患者作为对照组,回顾性分析两组患者资料,比较两组围手术期手术时间和出血量、术后肛门排气时间、留置尿管时间、下床时间、疼痛情况、伤口愈合、并发症情况和住院情况等。结果观察组比对照组患者手术时间长、出血量少,术后肛门排气、留置尿管及下床时间短,镇疼泵使用率低,伤口甲级愈合率高,并发症少,住院时间短,住院费用低,两组之间差异显著(P<0.05)。结论腹腔镜辅助阴式子宫全切术治疗子宫肌瘤,较经腹子宫切除术创伤小,恢复快,术后并发症少,更加节约医院资源和患者费用,具有显著优势。
Objective To compare the efficacy, safety and advantages and disadvantages of laparoscopic assisted vaginal hysterectomy (LAVH) and abdominal hysterectomy (TAH) in the treatment of uterine fibroids. Methods From March 2014 to March 2016, 80 cases of uterine leiomyoma treated with LAVH in Shangqiu Third People’s Hospital were selected as the observation group. 76 cases of uterine leiomyoma treated by conventional TAH during the same period were taken as the control group. The data of two groups were analyzed by sex. The perioperative operative time and bleeding volume, postoperative anal exhaust time, indwelling catheter time, bed ambulation, pain, wound healing, complications and hospitalization were compared between the two groups. Results Compared with the control group, the patients in the observation group had longer operation time, less bleeding, postoperative anal exhaust, indwelling catheter and shorter time to bed, lower pain pump usage rate, higher grade A wound healing, fewer complications, length of stay Short, low hospitalization costs, significant differences between the two groups (P <0.05). Conclusions Laparoscopic assisted vaginal hysterectomy for uterine fibroids is more effective than abdominal hysterectomy in trauma, rapid recovery, less postoperative complications, and more hospital resources and patient cost savings.