腹腔镜辅助阴式全子宫切除与开腹全子宫切除临床比较研究.docVIP

腹腔镜辅助阴式全子宫切除与开腹全子宫切除临床比较研究 　　【摘要】 目的：进一步研究和比较腹腔镜辅助阴式全子宫切除与开腹全子宫切除的临床效果，为相关研究提供借鉴和参考。方法：选取本院2010年12月-2012年12月期间收治的实施全子宫切除患者156例为研究对象进行了分析研究。结果：（1）在术中出血量、自主排尿时间、肛门排气时间、抗生素使用时间和住院时间上组间比较，腹腔镜组均显著低于开腹组，差异均有统计学意义（P0.05）；（2）术后切口感染率与术后发热率组间比较，腹腔镜组均显著低于开腹组，两组比较差异均有统计学意义（P0.05）。结论：采用腹腔镜辅助阴式全子宫切除较传统的开腹全子宫切除治疗方法具有一定的优势，患者采用这种手术方法后的出血量低，恢复迅速，整体临床效果显著。 　　【关键词】 腹腔镜辅助阴式全子宫切除； 开腹全子宫切除； 临床比较 　　The Research of the Clinical Comparison for Laparoscopic Assisted Vaginal Hysterectomy and Abdominal Hysterectomy/ZHANG Li.//Medical Innovation of China，2013，10（35）：019-020 　　【Abstract】 Objective： To further study and compare the differences of the clinical effect of laparoscopic assisted vaginal hysterectomy and abdominal hysterectomy， so as to provide reference for the related research. Method： One hundred and fifty-six cases of hysterectomy patients with the implementation of laparoscopic assisted vaginal hysterectomy in the hospital from December 2010 to December 2012 were chosen as the research object， and they were taken for retrospectively analysis. Result： （1） In the comparison of the amount of bleeding， automatic micturition time， anal exhaust time， antibiotic use， hospitalization time and cost of hospitalization between the two groups in the operation. The data of the laparoscopic group were significantly lower than the laparotomy group， the difference were statistically significant（P0.05）； （2） In the comparison of the rate and the incidence of postoperative incision infection between the two groups， patients in the laparoscopic group were significantly lower than the level of patients in the laparotomy group， all the difference were statistically significant （P0.05）. Conclusion： In clinical practice， the implementation of process operation in treatment of patients with hysterectomy with laparoscopy assisted vaginal hysterectomy has a comparative advantage compared to abdominal hysterectomy traditional treatment method， with the low amount of bleeding after operation method， rapi