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分析

目的：分析对巨大子宫肌瘤患者采用腹腔镜辅助阴式全子宫切除术方案进行治疗的临床效果。方法方便收集该院2013年10月—2015年10月间收治的经临床确诊的200例巨大子宫肌瘤患者，将所有患者随机分成两组：对照组包含100例患者，施行传统开腹全子宫切除术进行治疗；研究组包含100例患者，施行腹腔镜辅助阴式全子宫切除术方案进行治疗。观察及比较两组患者的手术操作时间、手术出血量等手术情况与术后排气时间、住院天数及并发症发生率等术后情况。结果与对照组相比，研究组患者的手术出血量（84.17±20.63）mL相对更少更少，术后排气时间（22.93±9.52）h及住院天数（5.21±0.78）d均明显更短，且术后并发症发生率（3.0%）相对更低（P<0.05），差异有统计学意义。结论对巨大子宫肌瘤患者采用腹腔镜辅助阴式全子宫切除术方案进行治疗具有微创、术后恢复快及并发症少等优点，值得进一步推广。

Analysis of Clinical Effect of Laparoscopic Assisted Transvaginal Hysterecto-my in the Treatment of Large Uterine Fibroids

Objective To analyze the clinical effects of laparoscopic assisted transvaginal hysterectomy in the treatment of large uterine fibroids. Methods Convenient selection 200 patients with large uterine fibroids were diagnosed and who ac-cepted treatments in the clinical in our Department from October 2013 to October 2015 were collected,and all patients were randomly divided into two groups: which the control group including 100 cases of patients, they were underwent the tradi-tional open hysterectomy resection while the study group including 100 cases of patients, they were underwent the laparo-scopic assisted transvaginal hysterectomy.Then,the operation time, bleeding volume and postoperative exhaust time, hospital-ization days and the incidence of complications after operation of two groups of patients were observed and compared. Re-sults Compared with the control group, the amount of bleeding of (84.17±20.63) mL in the study group was relatively less than in the study group,and the postoperative exhaust time (22.93±9.52)h and the hospitalization days of (5.21±0.78)d were significantly shorter, and the incidence rate of postoperative complications of 3%was relatively lower (P< 0.05),The differ-ence was startistically signrficant. Conclusion The treatment of laparoscopic assisted transvaginal hysterectomy for the pa-tients with large uterine fibroids which has the advantage of minimally invasive, fast recovery and less complications,thus it is worth to be promoted in the further.