CAJ | 학술논문

目的：研究腹腔镜辅助阴式子宫切除术的临床应用价值与安全性。方法：将2012年1月-2013年6月在本院行子宫切除治疗的48例患者按随机数字表法分为观察组与对照组，每组各24例。观察组拟行腹腔镜下阴式子宫切除术治疗，对照组拟行阴式子宫切除术治疗，比较两组治疗效果。结果：观察组平均手术时间明显低于对照组，术后肛门排气时间提前、术后住院时间缩短，术后VAS评分及手术并发症发生率均低于对照组，两组上述指标比较差异均有统计学意义（P<0.05）；术中出血量少于对照组，但比较差异无统计学意义（P>0.05）。结论：腹腔镜辅助阴式子宫切除术具有手术创伤小、并发症发生率低、患者术后恢复快等优点，值得临床进一步研究应用。
목적：연구복강경보조음식자궁절제술적림상응용개치여안전성。방법：장2012년1월-2013년6월재본원행자궁절제치료적48례환자안수궤수자표법분위관찰조여대조조，매조각24례。관찰조의행복강경하음식자궁절제술치료，대조조의행음식자궁절제술치료，비교량조치료효과。결과：관찰조평균수술시간명현저우대조조，술후항문배기시간제전、술후주원시간축단，술후VAS평분급수술병발증발생솔균저우대조조，량조상술지표비교차이균유통계학의의（P<0.05）；술중출혈량소우대조조，단비교차이무통계학의의（P>0.05）。결론：복강경보조음식자궁절제술구유수술창상소、병발증발생솔저、환자술후회복쾌등우점，치득림상진일보연구응용。
Objective:To study the clinical value of laparoscopic assisted vaginal hysterectomy type and safety. Method:48 patients were carried out hysterectomy from January 2012 to July 2013 in our hospital and were divided into observation group and control group according to the randomized methods,each group had 24 cases. The observation group carried out laparoscopic vaginal hysterectomy,the control group used Yin type hysterectomy, compared therapeutic effect of two groups.Result:The average operation time of the observation group were significantly lower than the control group, postoperative anal exhaust time,postoperative hospitalization time ahead of time,the observation group with postoperative VAS score and the complications incidence were lower than the control group. These indicators difference of two groups were statistical significance(P<0.05);the intraoperative blood loss was lower than the control group,but the difference had no statistical significance(P>0.05). Conclusion:Type of laparoscopic assisted vaginal hysterectomy with a small surgical trauma,postoperative mortality in patients with low complication rates,faster recovery advantages,is worthy of clinical application for further research.