Comparison of vaginal and laparoscopic methods in the treatment of uterine prolapse
阴式与腹腔镜术式治疗子宫脱垂的效果对比

摘要

目的 探究阴式子宫切除术与腹腔镜下开腹子宫切除术在治疗子宫脱垂中的效果。方法 选择在2018年5月至2020年9月来接受治疗的子宫脱垂患者80例，将其分为两组，其中采用阴式子宫切除术的患者为对照组（40例），采用腹腔镜下开腹子宫切除术的患者为观察组（40例），对两组之间在手术中的出血量、手术时间、住院时间、治疗效果、器官损伤程度均进行比较。结果 研究表明，对照组患者不论是手术中的出血量、手术时间、手术后的住院时间还是对器官造成的损伤，都明显高于观察组患者，同时观察组患者的术后并发症发生情况、一年内疾病复发率与VAS评分、盆腔器官脱垂量化分级量表评分都优于对照组，差异含有一定的统计学意义（P<0.05）。结论 在患有子宫脱垂的患者中应用腹腔镜下开腹子宫切除术取得的各方面效果都会比阴式子宫切除术好。

Abstract

Objective To investigate the effect of negative hysterectomy and laparoscopic open hysterectomy in the treatment of hysterosprolapse.
Methods 80 patients with hysterosprolapse who had been treated from May 2018 to September 2020 were selected and divided into two groups, of which the patients who adopted negative hysterectomy were the control group (40cases) and the patients who used laparoscopic open hysterectomy were the observation group (40cases), and the bleeding volume, operation time, hospital stay time, treatment effect and degree of organ damage during the operation were compared between the two groups.
Results The results showed that the bleeding volume, operation time, postoperative hospital stay or organ damage caused by the control group were significantly higher than those in the observation group, and the postoperative complications, the recurrence rate and VAS score within one year, and the quantitative grading scale score of pelvic organ prolapse were better than those in the control group, and the difference contained certain statistical significance (P<0.05).
Conclusion   Laparoscopic open hysterectomy in patients with hysterosprolapse will achieve better results in all aspects than negative hysterectomy.