巨大子宫肌瘤运用腹腔镜辅助阴式全子宫切除术治疗的临床分析.docVIP

精品论文 参考文献 巨大子宫肌瘤运用腹腔镜辅助阴式全子宫切除术治疗的临床分析 湖南省怀化市第二人民医院妇瘤科 湖南怀化 418000 【摘 要】目的：分析巨大子宫肌瘤运用腹腔镜辅助阴式全子宫切除术治疗的临床效果，以提升医疗质量。方法：选取我院收治的70例巨大子宫肌瘤患者的临床资料作为研究对象，将其按照不同治疗方法平均分成对照组与观察组各35例，对照组运用传统开腹子宫切除术治疗，观察组运用腹腔镜辅助阴式全子宫切除术治疗，对比两组患者的临床疗效。结果：对比两组的手术时间与术中出血量，差异显著，均有统计学意义（Plt;0.05）；对比两组患者术后的肛门排气时间、下床活动时间、抗生素应用天数、住院时间，差异显著，均有统计学意义（Plt;0.05）。结论：腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤的临床效果满意，应用价值高，值得推广。 【关键词】巨大子宫肌瘤；腹腔镜；阴式全子宫切除术；传统开腹子宫切除术 [Abstract]Objective：to analyze the clinical effect of laparoscopic assisted vaginal hysterectomy for the treatment of large uterine fibroids in order to improve the quality of medical treatment.Methods：in our hospital were 70 cases of giant hysteromyoma patients clinical data as the research object，the according to the different treatment methods divided into control group and observation group，35 cases in each group，the control group using the traditional abdominal hysterectomy resection in the treatment，the observation group used laparoscopic assisted vaginal hysterectomy surgery treatment，compared two groups of patients with clinical curative effect.Results：comparison of two groups of operative time and blood loss，significant differences，were statistically significant（Plt;0.05)；comparison of two groups of patients with postoperative anal exhaust time，out of bed activity time，days of antibiotics，hospitalization time，significant differences.There was statistically significant（Plt;0.05).Conclusion：the clinical effect of laparoscopic assisted vaginal hysterectomy for the treatment of large uterine fibroids is satisfied，the value is high，it is worth promoting. [Keywords]giant uterine myoma；Laparoscopy；vaginal hysterectomy；traditional open hysterectomy 子宫肌瘤的临床治疗多以切除子宫肌瘤为主，目前常用的两种切除术是传统开腹术与腹腔镜术[1-2]。本研究为了进一步分析巨大子宫肌瘤运用腹腔镜辅助阴式全子宫切除术治疗的临床效果，将我院于2013年9月到2015年10月期间接收并治疗的70例巨大子宫肌瘤患者平均分成两组，分别运用传统开腹子宫切除术和腹腔镜辅助阴式全子宫切除术治疗，现将两种治疗方法的临床效果进行如下对比分析。 1 资料与方法 1.1 临床资料 选取我院收治的70例巨大子宫肌瘤患者作为研究对象，对其临床资料进行回顾性分析。所有患者均经宫颈细胞学、B超检查等确诊[3]。按照不同治