腹腔镜辅助下阴式全子宫切除术与腹式全子宫切除治疗子宫良性病变的效果及对盆底功能的影响比较

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Abstract Objective To compare the clinical efficacy of laparoscopic assisted vaginal hysterectomy and abdominal hysterectomy in the treatment of benign uterine lesions and its influence on the pelvic floor function. Methods One hundred and thirty cases of patients with benign uterine lesions admitted to Department of Gynecology, Nanjing Maternity and Child Health Hospital from March 2016 to March 2017 were selected and divided into two groups by random number table, with 65 cases in each group. The control group was given abdominal hysterectomy, while the observation group was given laparoscopic assisted vaginal hysterectomy. The operative conditions, sexual quality of life, stress indexes and incidence of pelvic floor dysfunction of patients in the two groups were compared and analyzed. Results After treatment, intraoperative blood loss of observation group were less than the control group, the operative time, postoperative exhaust time and postoperative activity time in observation group were shorter than the control group, the differences were statistically significant(P ＜ 0.05). The total score of female sexual function index in observation group was higher than the control group, the difference was statistically significant (P ＜ 0.05), the scores of self-rating anxiety scale in observation group were lower than those before treatment and the control group, the differences were statistically significant(P ＜ 0.05). After treatment, the white blood cell count and the levels of serum cortisol, interleukin-6 and C-reactive protein in observation group were lower than the control group, the differences were statistically significant (P ＜ 0.05). There were no statistically significant differences on the incidence of pelvic floor dysfunction between the two groups (P ＞ 0.05). Conclusion Laparoscopic assisted vaginal hysterectomy can effectively reduce intraoperative blood loss, shorten the operative time and postoperative activity time, relieve anxiety and stress response.

Key words： Benign uterine lesions Laparoscopic assisted vaginal hysterectomy Abdominal hysterectomy Clinical efficacy Pelvic floor function

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	XU Pu MA Jiehua ZHANG Lei

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XU Pu MA Jiehua ZHANG Lei. Comparative study on the clinical efficacy of laparoscopic assisted vaginal hysterectomy and abdominal hysterectomy in the treatment of benign uterine lesions and its influence on the pelvic floor function[J]. 中国医药导报, 2017, 14(24): 110-113.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I24/110

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