腹腔镜监视下阴式子宫切除术的应用价值

目的研究腹腔镜监视下阴式子宫切除术的应用价值。方法采取回顾性分析方式分析我院从2009年4月—2013年2月收治的136例行子宫切除术患者,将其分为实验组和对照组。实验组患者72例实施腹腔镜监视下阴式子宫切除术,对照组64患者实施单纯阴式子宫切除术。对两组患者手术疗效及术后并发症发生情况进行分析比较。结果实验组患者的手术时间为（61.19±15.32）min,术中出血量为（73.41±21.32）mL,肛门排气时间为（21.38±3.74）h,住院时间为（5.16±1.35）d,术后并发症的发生率为4.41%;对照组患者的手术时间为（59.36±12.57）min,术中出血量为（98.53±53.64）mL,肛门排气时间为（20.64±4.32）h,住院时间为（8.28±1.71）d,术后并发症的发生率为13.24%。结果显示实验组的手术时间稍长于对照组,但差异无统计学意义（P〉0.05）,两组其他结果比较差异显著,具有统计学意义（P〈0.05）。结论腹腔镜监视下实施阴式子宫切除术的临床效果明显优于单纯阴式子宫切除术,值得临床推广应用。

The vaginal hysterectomy value laparoscopic monitoring

Objective To study the vaginal hysterectomy value under the laparoscopic monitoring. Methods 136 cases treated in our hospital was selected and divided into experimental and control groups.Experimental group with 72 patients were under the surveillance of laparoscopic vaginal hysterectomy, and the control group with 64 patients were under simple vaginal hysterectomy.The two groups of patients with surgical treatment and postoperative complications were analyzed and compared. Results Experimental group, the operation time was（61.19±15.32）min, blood loss was（73.41±21.32）mL, anal exhaust time is（21.38±3.74）h,length of stay was（5.16±1.35）d, postoperative complication rate of 4.41%; the control group of patients with operative time was（59.36±12.57）min, blood loss was（98.53±53.64）mL, anal exhaust time was（20.64±4.32）h, length of stay was（8.28±1.71）d, postoperative complication rate was 13.24 %. The results showed that the experimental group, the operation time is slightly longer than the control group, but the difference was not statistically significant（P〈0.05）, two other significant difference between the results,with statistical significance（P〈0.05）. Conclusion Under the supervision of the implementation of laparoscopic vaginal hysterectomy clinical results significantly better than vaginal hysterectomy, worthy of clinical application.