腹腔镜全子宫切除术与腹腔镜辅助下阴式子宫切除术的临床比较  

Clinical comparison of laparoscopic total hysterectomy and laparoscopically assisted vaginal hysterectomy

作　　者：任霞[1] 叶玲[2] 白文佩[1] 周应芳[1] 

机构地区：[1]北京大学第一医院妇产科,北京100034 [2]湖南省马王堆医院,湖南长沙410016

出　　处：《中国内镜杂志》2007年第5期449-451,共3页China Journal of Endoscopy

基　　金：北京市科委基金(H030930040230)

摘　　要：目的比较腹腔镜全子宫切除术和腹腔镜辅助下阴式子宫切除术的临床效果。方法回顾性分析2004年1月～2005年6月该院妇科286例子宫切除术的临床资料,其中腹腔镜全子宫切除术122例(LTH组),腹腔镜辅助下阴式子宫切除术组164例(LAVH组),比较其基本特征、手术时间、住院天数、费用和术后恢复等情况。结果LTH组手术适应证71.30%为子宫肌瘤,低于LAVH组(82.9%);附件/输卵管切除术所占比例LTH为28.7%,高于LAVH组(18.3%);LTH组术中出血100mL(20～400mL),少于LAVH组(50mL)(50～1500mL);手术费用LTH组为(1194.48±288.46)元,低于LAVH组的(1356.47±453.48)元;以上数据差异均具有统计学意义(P<0.05)。子宫重量、手术时间、术后住院天数、手术并发症两组差异无显著性。结论LTH是安全有效的全子宫切除术式,值得临床推广应用。[Objective] To compare the clinical effectiveness of laparoscopie total hysterectomy （LTH） and laparoscopicaUy assisted vaginal hysterectomy （LAVH）. [Method] The basic characteristics, operation time, blood loss, days of hospitalization, medical costs, recovery status were compared between 122 cases of LTH and 164 cases of LAVH performed in Department of Obstetrics and Gynecology, Peking University First Hospital from 2004.1 to 2005.6. [Results] The indication of myoma was lower in LTH than that in LAVH （71.30% vs 82.9%, P 〈0.05）. The estimated blood loss100 （20-400） vs 50 （50-1500） mL, operation cost were all lower in LTH than those in LAVH （P 〈0.05）. There were no differences on the average weight of uterus, the operating time, complication rate and hospitalized days between the two kinds of operation. [Conclusions] LTH is safe, effective and is recommended to be used widely.

关 键 词：腹腔镜全子宫切除术 腹腔镜辅助下阴式子宫切除术 女性生殖器疾病 

分 类 号：R713.4[医药卫生—妇产科学]