两种腹腔镜辅助阴式子宫切除术与阴式子宫切除术的临床比较  

Two kinds of laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy clinical comparison

作　　者：姚志芹[1] 

机构地区：[1]河南省濮阳市油田总医院妇产科,河南濮阳457001

出　　处：《中国当代医药》2010年第12期36-37,共2页China Modern Medicine

摘　　要：目的:比较两种腹腔镜辅助阴式全子宫切除术(LAVHa和LAVHb)和阴式全子宫切除术(TVH)的特点。方法:回顾性分析2006年2月～2010年1月于本院行全子宫切除术173例患者的临床资料,其中,LAVHa55例,LAVHb58例,TVH60例。结果:各组患者均以子宫肌瘤、子宫腺肌症为主要病因,3组患者手术平均时间比较,差异无统计学意义(P>0.05),但LAVHa组患者的平均出血量显著少于TVH组和LAVHb组(P<0.05)。LAVHa组患者切除子宫的体积显著大于其他两组(P<0.05)。LAVHa组手术泌尿系统损伤并发症发生率为3.64%,稍高于LAVHb和TVH组,均发生于开展腹腔镜手术初期,总体并发症较其他两组少。结论:LAVHa患者切除的子宫体积较大,不影响手术时间,出血少,总体并发症较少。Objective： Comparison of two laparoscopic assisted vaginal hysterectomy（LAVHa and LAVHb） and vaginal hysterectomy（TVH） characteristics. Methods： Retrospective analysis from February 2006 to January 2010 in our hospital during the hysterectomy clinical data of 173 patients included LAVHa 55, LAVHb 58, TVH 60. Results： Patients in each group were uterine fibroids,adenomyosis as the main cause,the patients with an average of three times the difference was not statistically significant（P〉0.05）,but in LAVHa patients,the average blood loss was significantly less than the TVH group and LAVHb group（P〈0.05）.LAVHa volume of hysterectomy patients was significantly higher than the other two groups（ P〈 0.05）.Surgical complications of urinary tract injury rate was 3.64% in LAVHa group,slightly higher than LAVHb and TVH groups. Carry out laparoscopic surgery occurred in the early stage, overall complications less than the other two groups. Conclusion： Removal of the uterus in patients of LAVHa are larger, and does not affect the operation time,less blood loss, fewer overall complications.

关 键 词：腹腔镜辅助阴式子宫切除术 阴式子宫切除术 临床比较 

分 类 号：R713.42[医药卫生—妇产科学]