改良子宫腹腔镜辅助阴式子宫切除术的临床应用  

Clinical Application of Reforming Laparoscopically Assisted Vaginal Hysterectomy

作　　者：王海波[1] 周爱玲[1] 逯彩虹[1] 李萍[1] 付红霞[1] 任国庆[1] 任建宇[1] 

机构地区：[1]解放军第260医院妇产科,石家庄050041

出　　处：《白求恩军医学院学报》2008年第2期71-73,共3页Journal of Bethune Military Medical College

摘　　要：目的比较常规腹腔镜辅助阴式子宫切除术(LAVH)与改良LAVH在大子宫切除中的临床效果。方法收集我院2003年12月～2007年12月接受以上不同术式大子宫切除术318病例的临床资料,其中常规LAVH122例(常规组),改良LAVH196例(改良组),比较两组的手术时间、术中出血量、体温恢复时间、术中及术后并发症和远期并发症等。结果改良组与常规组相比,手术时间明显缩短(P<0.001),出血量明显减少(P<0.001),但体温恢复时间接近(P>0.05)。常规组术中发生膀胱损伤2例,转开腹行膀胱修补、阴道残端脓肿1例,改良组全部均在镜下完成,无中转开腹。近期随访,常规组发生阴道前壁脱垂2例,阴道后壁轻度脱垂1例,改良组无严重并发症发生。结论改良LAVH在大子宫切除方面优于常规LAVH。Objective To compare clinical effect between common laparoscopicalty assisted vaginal hysterectomy（LAVH）and reforming LAVH with big uterus. Methods Clinical data of 318 cases treated with hysterectomy were retrospectively analyzed, in which 124 patients in common group and 26 in reforming group. The operation time, operation blood volume, body temperature recovery time, inter-operative and postoperative complications, long-term complications and postoperative recovery between the two groups were compared. Results Compared with common group, operation time is shorter（ P 〈 0.001 ）and blood volume is little（ P 〈 0.001 ）in reforming group, but there was no statistics difference about body temperature recovery time（ P 〉 0.05）in two groups. There were 2 bladder injuries（mended through abdomen operation） ,1 vagina stump abscess in group, All operations were finished successfully in lapamscope in reforming group（without serious complications）. In the near follow-up, there were 2 prolapse vagina anterior, 1 prolapse vagina posterior in common group, Conclusion Reforming LAVH with big uterus outweighs common LAVH.

关 键 词：子宫切除术 腹腔镜 LAVH 

分 类 号：R713.42[医药卫生—妇产科学]