腹腔镜下子宫切除术治疗妇科良性疾病疗效、预后及并发症分析

目的：探究腹腔镜下子宫切除术在治疗妇科良性疾病时的疗效和预后,并总结并发症情况。方法：选取102例妇科良性疾病患者,随机均分成实验组和对照组,各51例,实验组患者采用腹腔镜下子宫切除术,对照组患者采用开腹筋膜内子宫切除术,观察两组患者术后的疗效和预后对于生活的影响情况,同时总结手术产生的并发症情况。结果：两组在手术时间、术中出血、住院时间和术后肛门排气时间的差异上有统计学意义（P〈0.05）,在术后体温上没有统计学意义（P〉0.05）。两组在术前和术后的指标PT、APTT和FIB无明显差异（P〉0.05）,D-D和CRP差异明显,其中对照组CRP的变化程度大于实验组（P〈0.05）。两组患者术后并发症发生情况具有统计学意义（P〈0.05）。结论：采用腹腔镜下子宫切除法治疗妇科良性疾病,手术方法简单,术后指标稳定,减少了对于患者造成的创伤,值得在临床推广。

The Analysis of Curative Effect,Prognosis,and Complications to TreatGynecological Disease By Laparoscopic Hysterectomy

Objective：To explore the curative effect,prognosis,and complications to treat gynecological disease by laparoscopic hysterectomy.Methods：102cases divided into experimental group and the control group.The experimental group were treated by laparoscopic hysterectomy,the control group were treated by laparoscopic hysterectomy inside scabbard film.Results：Experimental group compared to control group in operation time,intraoperative hemorrhage,length of hospital stay,and postoperative anal exhaust time,the difference was statistically significant（P〈0.05）,and on the body temperature no statistical significance（P〉0.05）.Two groups in the preoperative and postoperative indicator of PT,APTT,FIB and no obvious difference（P〉0.05）.Conclusion：The operation method of laparoscopic hysterectomy is simple,stable postoperative index,reduced the cause for the patient＇s bed,is worth popularizing in clinical.