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腹腔镜下经腹膜外子宫悬吊术与经阴道子宫切除术对子宫脱垂的治疗效果比较 被引量:2

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摘要 目的:比较腹腔镜下经腹膜外子宫悬吊术与经阴道子宫切除术治疗子宫脱垂的临床效果。方法:选取2013年1月~2015年1月期间在我院收治的80例子宫脱垂患者,将其随机分为观察组和对照组,每组各40例,观察组行腹腔镜下经腹膜外子宫悬吊术,对照组行经阴道子宫切除术,观察比较两组患者的手术效果、术后并发症发生情况及术后性生活满意度。结果:观察组患者的手术时间、住院时间及术后恢复正常状态时间均明显短于对照组,术中出血量明显少于对照组,P<0.05,差异具有统计学意义。观察组术后并发症发生率为5.0%,明显低于对照组的17.5%;术后性生活满意度为95.0%,明显高于对照组的72.5%,P<0.05,差异具有统计学意义。结论:腹腔镜下经腹膜外子宫悬吊术治疗子宫脱垂的手术效果优于经阴道子宫切除术,术后并发症少,患者性生活满意度高,值得推广应用。 AIM: To compare the clinical effects of laparoscopic extraperitoneal hysterectomy and transvaginal hysterectomy for uterine prolapse. Methods: Eighty patients with uterine prolapse who were treated in our hospital from January, 2013 to January, 2015 were randomly divided into observation group and control group, 40 cases in each group, the observation group underwent laparoscopic peritoneal And the control group were treated by transvaginal hysterectomy. The operative results, postoperative complications and postoperative sexual satisfaction were observed and compared between the two groups. Results: The operation time, hospitalization time and postoperative recovery time of the observation group were significantly shorter than those of the control group. The intraoperative blood loss was significantly less than that of the control group, P <0.05, the difference was statistically significant. The postoperative complication rate was 5.0% in the observation group, which was significantly lower than that in the control group(17.5%). The postoperative life satisfaction was 95.0%, which was significantly higher than that of the control group(P <0.05), which was statistically significant. Conclusion: Laparoscopic operation of uterine prolapse through uterine prolapse is superior to transvaginal hysterectomy, less postoperative complications, high sexual satisfaction, and worthy of popularization and application.
作者 黄蓓蓓
出处 《中国妇幼健康研究》 2017年第S1期506-507,共2页 Chinese Journal of Woman and Child Health Research
关键词 腹腔镜下经腹膜外子宫悬吊术 经阴道子宫切除术 子宫脱垂 laparoscopic extraperitoneal uterine suspension transvaginal hysterectomy uterine prolapse
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