摘要
目的比较、探讨三种子宫切除术的临床价值。方法按术式不同将351例患者分成腹腔镜辅助经阴道子宫切除术(laparoscopic-assisted vaginal hysterectomy,LAVH)组、经阴道全子宫切除术(totalvaginal hysterectomy,TVH)组和腹式子宫切除术(total abdominal hysterectomy,TAH)组,比较手术时间,术中出血量和术后情况。结果三种术式术后均无并发症发生。LAVH组手术时间长于TAH组和TVH组(P<0.05),TVH组和TAH组无明显差异(P>0.05);LAVH组和TAH组比TVH组出血多,差异有显著性(P<0.05)。术后发病率、术后排气时间、下床活动时间、镇痛剂使用率、住院时间等,TAH组与TVH组及LAVH组比较差异有统计学意义(P<0.05)。结论三种术式各有利弊,医生在手术前应综合评估病情,根据不同个体选择不同方案以达到最佳效果。
Objective To study and compare the clinical advantages and disadvantages of therapeutic efficacy during application of three kinds of operative methods of total abdominal hysterectomy （TAH）, total vaginal hysterectomy（TVH） and laparoscopic - assisted vaginal hysterectomy （LAVH）. Methods 351 patients with the hysterectomy were performed by three different approaches （TAH, LAVH and TVH） and compared with their duration of operation, bleeding condition during operation and condition after operation. Results No complications occurred after three kinds of surgical operations. There was remarkable difference that operation time of LAVH group was longer than that of TAH group and TVH group（ P 〈 0.05 ）. while there was no significant difference of operation time between TAH group and TVH group（P 〉0.05）. The hemorrhage volume of LAVH group was more than that of TAH group and TVH group and there was significant different of hemorrhage volume between LAVH group and TAH group or TVH group（ P 〈 0.05）. There was significant differences existed in morbidity rates after operation, the time of air exhaust after operation, the time of ambulation, anodyne application rates and the time in hospital among three approaches of hysterectomy （P 〈 0.05）. Conclusion There are disadvantages and advantages of three kinds approaches so individual programs would be selected according to different conditions to achieve the best results.
出处
《中国计划生育和妇产科》
2009年第6期22-24,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
子宫切除术
对比分析
hysterectomy
comparative analysis
