CAJ | 학술논문

目的:研究分析腹腔镜辅助阴式全子宫切除术,对治疗巨大子宫肌瘤的临床疗效.方法:选取我院自2013年5月-2014年7月收治的患者66例,经临床诊断,均确诊为巨大子宫肌瘤患者,现将其临床资料作为研究对象,并采用随机分组方式,分为研究组与实验组,每组分别为33例,分别对两组患者采取不同治疗方案,其中研究组患者施行常规开腹子宫切除术,实验组患者则施行腹腔镜辅助阴式全子宫切除术,对两者疗效、患者满意程度以及预后进行对比.结果:实验组患者在疗效、出血量以及预后显著优于研究组(p<0.05),且实验组并发症几率为6.06%明显低于研究组的24.24%(p<0.05),两组患者手术时间无显著差异,差异具有统计学意义(p>0.05).结论:采用腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤疗效显著,不但能够减少手术期间出血量,而且大大降低了术后并发症的发生几率,具有临床推广应用价值.
목적:연구분석복강경보조음식전자궁절제술,대치료거대자궁기류적림상료효.방법:선취아원자2013년5월-2014년7월수치적환자66례,경림상진단,균학진위거대자궁기류환자,현장기림상자료작위연구대상,병채용수궤분조방식,분위연구조여실험조,매조분별위33례,분별대량조환자채취불동치료방안,기중연구조환자시행상규개복자궁절제술,실험조환자칙시행복강경보조음식전자궁절제술,대량자료효、환자만의정도이급예후진행대비.결과:실험조환자재료효、출혈량이급예후현저우우연구조(p<0.05),차실험조병발증궤솔위6.06%명현저우연구조적24.24%(p<0.05),량조환자수술시간무현저차이,차이구유통계학의의(p>0.05).결론:채용복강경보조음식전자궁절제술치료거대자궁기류료효현저,불단능구감소수술기간출혈량,이차대대강저료술후병발증적발생궤솔,구유림상추엄응용개치.
Objective: To study the clinical effect of laparoscopic assisted vaginal hysterectomy in the treatment of huge uterine fibroids.Methods:66 cases of patients treated in our hospital from May 2013 to July 2014, the clinical diagnosis, the diagnosis of giant uterine fibroids, and the clinical data as the research object, and the use of random grouping, divided into study group and experimental group, two cases, respectively, 33 groups of patients with different treatment, including the study group of patients with laparoscopic assisted vaginal hysterectomy, for both efficacy, patient satisfaction and prognosis.Results:the patients in the experimental group were significantly better than that in the treatment group (p<0.05), and the complication rate was 6.06% (p<0.05).Conclusion:using laparoscopic assisted vaginal hysterectomy in the treatment of huge uterine fibroids curative effect is remarkable, not only can reduce the amount of bleeding during the operation, but also greatly reduce the incidence of postoperative complications, and has clinical application value.