CAJ | 학술논문

目的：探讨腹腔镜与阴式子宫切除术在基层医院的应用效果，以供临床参考。方法选取465例拟行子宫切除术患者为研究对象，根据手术方式不同分为两组。对照组213例接受传统阴式子宫切除术治疗，观察组252例接受腹腔镜辅助阴式子宫切除术治疗。对比两组治疗效果及并发症发生率。结果观察组患者手术时间长于对照组（ P ＜0．01），但术中出血量少于对照组（ P ＜0．01），术后肠道功能恢复时间和住院时间均短于对照组（ P ＜0．01）；观察组患者手术并发症发生率低于对照组（ P ＜0．01）。结论腹腔镜与阴式子宫切除术在基层医院临床均有应用，其中腹腔镜辅助阴式子宫切除术具有创伤小、恢复快等优势，值得在基层医院推广应用。
목적：탐토복강경여음식자궁절제술재기층의원적응용효과，이공림상삼고。방법선취465례의행자궁절제술환자위연구대상，근거수술방식불동분위량조。대조조213례접수전통음식자궁절제술치료，관찰조252례접수복강경보조음식자궁절제술치료。대비량조치료효과급병발증발생솔。결과관찰조환자수술시간장우대조조（ P ＜0．01），단술중출혈량소우대조조（ P ＜0．01），술후장도공능회복시간화주원시간균단우대조조（ P ＜0．01）；관찰조환자수술병발증발생솔저우대조조（ P ＜0．01）。결론복강경여음식자궁절제술재기층의원림상균유응용，기중복강경보조음식자궁절제술구유창상소、회복쾌등우세，치득재기층의원추엄응용。
Objective To investigate the application of laparoscope and vaginal hysterectomy in grass-root hospitals for clinical reference.Methods Four hundred and sixty-five patients who were going to have hysterectomy were divided into two groups according to the surgery they chose.213patients in control group received conventional vaginal hysterectomy while 252 in observation group were given laparoscope-assisted vaginal hysterectomy.The therapy and surgical complications in two groups were compared .Rseults More surgery time was taken on patients in observation group than those in control group with less blood loss ( P <0.01) .The recovery time of postoperative bowel function and the time in hospital were shorter than those in control group ( P <0.01) .The rate of postoperative complications in observation group was lower too( P <0.01).Conclusion Laparoscopic and vaginal hysterectomy are applied clini-cally in grass-root hospitals, but laparoscope-assisted vaginal hysterectomy has the advantages such as smaller trauma and quicker re-covery and can be widely used in grass-root hospitals.