Clinical Observation Of Laparoscopic Hysterectomy Was Proved And Abdominal Hysterectomy Size Large Uterus Patients

Objective : To analysis the difference between laparoscopic hysterectomy was improved and abdominal hysterectomy size large uterus patients in intraoperative,postoperative indicators and postoperative quality of life?Method : We collectde the data of 60 patients from Ruikang Hospital Affiliated to Guangxi University of traditional Chinese Medicine with peration indication,the date from Jan 2015 to Jan 2017,Surgical cases are all made by the same MD surgeon.The total of 60 cases divide into two groups by table of random number,one group with 33 cases as observation group treated by laparoscopic hysterectomy,and another group with 27 cases as abdominal hysterectomy.We intend to analyze the two groups of patients before surgery in general,operative time,blood loss,intraoperative and postoperative complications,gastrointestinal function recovery time,rate to use analgefic,postoperative hospitalization time,surgery expenses,postoperative morbidity rate of fever,uterine weight and operative incision healed condition,Short Form-36(SF-36)scale was performed to assess postoperative quality of life.Result : 33 patients as observation group treated by laparoscopic hysterectomy was improved is A group,and another group with 27 cases as abdominal hysterectomy is B group.There was no significant difference in the mean operating time,intraoperative and postoperative complicationst the rate of operative incision healed best,postoperative morbidity rate of fever,uterine weight between laparoscopic hysterectomy group and abdominal hysterectomy group.the rate to use analgefic in laparoscopic hysterectomy group and abdominal hysterectomy group,the difference was statistically significant(P<0.05).The results showed that average blood loss,average postoperative hospitalization time,surgery expense,the gastrointestinal function recovery time,in laparoscopic hysterectomy group and abdominal hysterectomy group,the difference was statistically significant(P<0.05).The dimension of the Short Form-36(SF-36)scores and total score of the two groups after operation 1 month of laparoscopic hysterectomy group were higher than abdominal hysterectomy group(P<0.05).Conclusion:1.Laparoscopic surgery was improved as gynecology minimally invasive surgery by exposure operative field and effective closure of lange blood vessels for large uterus with surgery method and skill is safe and feasible.Uterines which are between bigger than 12 weeks pregnang uterine size and 16 weeks pregnang uterine size.2.Laparoscopic hysterectomy was improved has small trauma,low blood loss,gastrointestinal function faster recovery,little abdominal scar,not increase the rate of intraoperative and postoperative complicationsand,higher quality of life,compared with abdominal hysterectomy,and is an ideal treatment of uterine myoma surgery method.