腹腔镜下全子宫切除术临床效果研究.docVIP

腹腔镜下全子宫切除术临床效果研究 　　[摘要] 目的 探讨腹腔镜下全子宫切除术与开腹全子宫切除术的临床效果。方法 该次研究方便选择的78例患者均为该院2013年8月―2015年8月期间收治，按照随机数字法将其分为两组。接受传统开腹全子宫切除术的39例患者归入对照组，接受腹腔镜下全子宫切除术的39例患者归入观察组。就两组患者术中出血量、排气时间、下床活动时间、住院时间等方面进行比较，治疗结束后，观察两组患者并发症的发生情况，并就治疗前后患者生活质量改善情况展开分析。结果 观察组患者书中出现量显著低于对照组，且观察组患者排气、下床、住院等项目消耗时间也显著低于对照组，差异有统计学意义（P0.05）。治疗结束后，观察组患者术后并发症总发生率7.69%显著低于对照组17.95%，差异有统计学意义（P0.05）。两组患者治疗后生活质量评分均有所改善，且观察组显著优于对照组，差异有统计学意义（P0.05）。结论 腹腔镜下全子宫切除术的损伤小、恢复快，患者预后佳，可有效避免术后并发症，值得推广。 　　[关键词] 腹腔镜；全子宫切除术；开腹；并发症 　　[中图分类号] R713.4 [文献标识码] A [文章编号] 1674-0742（2016）12（c）-0066-03 　　[Abstract] Objective To investigate the clinical effect of laparoscopic hysterectomy and open hysterectomy. Methods Convenient selection the 78 patients selected in this study were treated in our hospital from August 2013 to August 2015， according to the random number method is divided into two groups. 39 patients undergoing conventional hysterectomy were included in the control group and 39 patients undergoing laparoscopic hysterectomy were included in the observation group. The time of bleeding， the time of getting out of bed and the length of hospital stay were compared between the two groups. After the treatment， the complications of the two groups were observed， and the quality of life of the patients before and after treatment was analyzed. Results The amount of bleeding， the time of exhausting， the time of getting out of bed and the time of hospitalization were all significantly lower in the observation group than in the control group（P0.05）. After treatment， the total incidence of postoperative complications in the observation group was significantly lower than the control group，（7.69% VS 17.95%）， the difference was statistically significant（P0.05）. The quality of life scores of both groups improved after treatment， and the observation group was significantly better than the control group， the difference was statistically significant（P0.05）. Conclusion Laparoscopic hysterectomy has the advantages of small injury， quick recov