腹腔镜辅助阴式子宫切除术与经腹子宫切除术的对比分析  

Laparoscopic assisted vaginal hysterectomy and transabdominal hysterectomy contrast analysis

作　　者：朱伟[1] 毛世琴[1] 

机构地区：[1]江苏省靖江市人民医院妇产科,江苏靖江214500

出　　处：《中国当代医药》2011年第27期170-171,共2页China Modern Medicine

摘　　要：目的:比较腹腔镜辅助阴式子宫切除术与经腹子宫切除术两种手术的临床效果。方法:100例妇科非脱垂子宫良性疾病患者需行子宫切除术,随机分成两组,甲组(50例)行腹腔镜辅助阴式子宫切除术,乙组(50例)行经腹子宫切除术。结果:甲组术中出血量、肠蠕动恢复及术后疼痛优于经腹子宫切除术组(P<0.01),甲组手术时间长于乙组(P<0.01),住院时间比较差异无统计学意义(P>0.05)。两组均未出现手术并发症。结论:腹腔镜辅助阴式子宫切除术具有创伤小、恢复快等优点,对于非脱垂子宫切除,腹腔镜辅助阴式子宫切除术是一种安全有效的手术方式。Objective：To compare the clinical effects of laparoscopic assisted transvaginal hysterectomy（LATH） and transabdominal hysterectomy（TAH） for the treatment of patients with benign non-prolapsed uterus.Methods：One hundred patients with benign non-prolapsed uterine diseases were randomly assigned to receive LATH（n=50） and TAH（n=50）.Results：In LATH group,patients showed decrease of hemorrhage volume and post-operative pain together with improvement of enterokinesia recovery compared with those of TAH group（P0.01）.Significant increase of surgery duration was detected in LATH group compared with TAH group（P0.01）.No significant difference was observed for the length of stay in both groups（P0.05）.No complications were detected in both groups.Conclusion：As LATH indicated minimal trauma and quick recovery time,it is efficient for the treatment of patients with non-prolapsed uterus.

关 键 词：经腹子宫切除术 腹腔镜 腹腔镜辅助阴式子宫切除术 对比分析 

分 类 号：R713.4[医药卫生—妇产科学]