腹腔镜子宫全切除术与开腹手术临床效果分析.docVIP

腹腔镜子宫全切除术与开腹手术临床效果分析 　　摘 要：目的 研究分析子宫切除术中分别运用常规开腹式切除以及腹腔镜式切除的临床效果。方法 选取2014年5月～2016年5月本院收治的65例行腹腔镜子宫全切除术患者作为实验观察组，另选取65例行传统子宫全切除术患者作为常规对照组，对比分析两组患者实施手术后各项观察指标及并发症发生情况。结果 实验观察组患者的术中出血量、肛门排气时间、术后下床活动时间、住院时间均显著优于常规对照组，差异具有统计学意义（P0.05）；而在术后镇痛方面，实验观察组人数明显少于常规对照组，并且创口均为甲级愈合，两组间差异具有统计学意义（P0.05）。实验观察组患者术后切口感染、切口液化发生率均显著低于常规对照组，差异具有统计学意义（P0.05）。结论 使用腹腔镜子宫全切除手术具有对患者造成的创伤小、术中出血量较少、对腹腔内环境的影响小、术后恢复速度快且无明显瘢痕等显著优势，具有较高的临床推广价值。 　　关键词：开腹手术；子宫切除术；腹腔镜 　　中图分类号：R713.42 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.03.034 　　文章编号：1006-1959（2018）03-0105-02 　　Abstract：Objective To study the clinical effects of laparoscopic hysterectomy and conventional open hysterectomy.Methods From May 2014 ～2016 year in May the hospital treated 65 cases of laparoscopic hysterectomy patients as the experimental group， the other a total of 65 patients who underwent traditional hysterectomy patients as control group， comparative analysis of the observed indicators and complications in two groups of patients after surgery. Results The intraoperative blood loss， anal exhaust time， ambulation time and hospital stay in experimental observation group were significantly better than those in the control group，the difference was statistically significant（P0.05）；while in postoperative analgesia， the number of experimental observation group was significantly less than the conventional control group，and the wounds were grade A healing，the difference between the two groups was statistically significant（P0.05）.The incidence of incision infection and incision liquefaction in the experimental group was significantly lower than that in the control group，the difference was statistically significant （P0.05）.Conclusion Laparoscopic hysterectomy has the advantages of less trauma，less intraoperative blood loss，less impact on the intra-abdominal environment，faster postoperative recovery and no obvious scar，and has a high clinical promotion value. 　　Key words：Open surgery；Hysterectomy；Laparoscopy 　　内镜的应用可在人体内部各个位置引入亮光，极大延展医生的视觉