腹腔镜辅助阴式子宫全切术与经腹子宫全切术临床对比研究  

Clinical comparison study of laparoscopically assisted vaginal hysterectomy and transabdominal hysterectomy

作　　者：孙运明[1] 施晓[1] 唐禹馨 陈艳杰[1] 

机构地区：[1]浙江省舟山市妇幼保健院妇产科,316000

出　　处：《中国医师进修杂志》2011年第30期14-16,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的比较观察腹腔镜辅助阴式子宫全切术（LAVH）与经腹子宫全切术（TAH）的临床效果。方法将126例行子宫全切术患者按随机数字表法分为LAVH组和TAH组，每组63例，比较观察两组的手术时间、术中出血量、排气时间、住院时间及术后并发症。结果LAVH组手术时间长于TAH组[（115．6±13．8）min比（82．5±8．7）min]（P〈0．05），术中出血量、排气时间、住院时间均明显少于TAH组[（92．5±11．3）ml比（112．3±17．8）ml、（21．8±4．8）d比（28．9±6．2）d、（6．1±1．7）d比（9．6±2．2）d]（P〈0．05），术后切口疼痛、切口延期愈合、阴道残端感染、血栓性静脉炎及胃肠功能紊乱发生率明显低于TAH组[9．5％（6／63）比52．4％（33／63）、0比7．9％（5／63）、1．6％（1／63）比11．1％（7／63）、0比7．9％（5／63）、7．9％（5／63）比22．2％（14／63）]（P〈0．05）。结论LAVH较TAH能够明显缩短排气时间及住院时间，减少术中出血量，降低术后并发症的发生率，值得临床进一步推广应用。Objective To compare the clinical effects of laparoscopically assisted vaginal hysterectomy （LAVH） and transabdominal hysterectomy （TAH）. Methods One hundred and twenty-six cases operated with hysterectomy were classified into LAVH group and TAH group by random digits table with 63 cases each. The operation time,intraoperative bleeding amount, exhaust time, hospitalization time and postoperative complications were observed and compared. Results The operation time, intraoperative bleeding amount, exhaust time and hospitalization time was （ 115.6 ± 13.8） min, （92.5 ± 11.3） ml, （21.8± 4.8） d and （6.1 ± 1.7） d in LAVH group, （82.5 ±8.7） min, （ 112.3 ± 17.8） ml, （28.9 ± 6.2） d and （9.6 ± 2.2） d in TAH group, there were significant differences between two groups （P 〈 0.05）. The incidence of incision pain, delayed wound healing, vaginal stump infection, thrombophlebitis,and gastrointestinal disorders was 9.5% （6/63）, 0, 1.6% （ 1/63 ）, 0 and 7.9% （5/63） in LAVH group , which was significantly lower than that in TAH group [52.4% （33/63）, 7.9% （5/63）, 11.1% （7/63）, 7.9% （5/63） and 22.2% （ 14/63 ） ] （P 〈 0.05）. Conclusion Compared with TAH, LAVH can shorten exhaust time, hospitalization time, reduce intraoperative bleeding amount, decrease complication rate, which can be further applied in clinic.

关 键 词：腹腔镜 子宫切除术 阴道式 并发症 

分 类 号：R713.42[医药卫生—妇产科学]