徐璞+马洁桦+张蕾

    [摘要] 目的 比較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。 方法 选择2016年3月～2017年3月南京市妇幼保健院妇科收治的130例子宫良性病变患者，依据随机数字表法将其随机分为两组，每组65例。对照组患者采取腹式全子宫切除术，观察组患者采取腹腔镜辅助下阴式全子宫切除术进行治疗。对两组患者手术情况、性生活质量、应激指标及盆底功能障碍发生率进行比较分析。 结果 观察组术中出血量较对照组明显减少(P 0.05)。 结论 腹腔镜辅助下阴式全子宫切除术可明显减少子宫良性病变患者的术中出血量，缩短手术时间及下床活动时间，缓解焦虑情绪、应激反应。

    [关键词] 子宫良性病变；腹腔镜辅助下阴式全子宫切除术；腹式全子宫切除术；临床疗效；盆底功能

    [中图分类号] R714 [文献标识码] A [文章编号] 1673-7210(2017)08(c)-0110-04

    [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 ......