腹腔镜辅助下阴式子宫切除术临床效果分析  

Efficacy analysis of laparoscopic-assisted vaginal hysterectomy

作　　者：杨学荣[1] 

机构地区：[1]遂宁市中心医院妇产科,四川遂宁629000

出　　处：《西部医学》2012年第3期578-579,共2页Medical Journal of West China

摘　　要：目的探讨腹腔镜辅助下阴式子宫切除术(LAVH)的临床应用价值。方法对121例需行子宫全切术的患者,按入院先后随机分为两组:A组(LAVH组)61例,B组(TVH组)60例。A组行LAVH,B组行单纯阴式子宫全切术(TVH)。分别对两组的临床疗效(手术时间、术中出血量、术后肛门排气时间、术后住院时间、术后阴道残端感染率)进行观察。结果手术时间:A组[(125±27)min]较B组[(130±22)min]无明显延长(P>0.05);术中出血量:A组[(121±70)]ml较B组[(141±73)]ml明显减少(P<0.05);肛门排气时间:A组[(26.2±7.3)]h较B组[(49.6±13.4)h]明显缩短(P<0.05);住院时间:A组[(5±1)d]明显短于B组[(6±3)]d(P<0.05)。阴道残端感染率:A组(1.6%)明显少于B组(8.33%),有统计学意义(P<0.05)。结论 LAVH明显优于单纯TVH,是一种较为理想的手术方法,值得临床推广应用。Objective To explore the clinical value of the laparoscopic assisted vaginal hysterectomy （LAVH）. Methods According to hospital, 121patients required hysterectomy were randomly divided into two groups： B group （treatment group,61cases） ;the B group （ control group, 60 cases）. The A group were under LAVH, the B group with simple transvaginal hysterectomy（TVH）. Respectively, the clinical efficacy of 2 groups （including surgery time, blood loss, anal exhaust time, postoperative hospital stay, postoperative vaginal stump infection rate） were observed. Results The operative time of A group（125±27）min was no markedly extended compared with the B group（130±22）min, （P〉 0.05 ） ;the blood loss of A group（ 121±70 ）ml was significantly less than that of the B group（ 141 ± 73 ）ml, （P〈0. 05） ;the anal exhaust time of A group（24.2±7.1 ）h markedly shortened compared with the B group（ 49. 6±13.4 ）h, （P〈0. 05 ） ; the hospital stay of treatment group（ 5 ± 1 ） d was less than that of the control group （ 6±3 } d, （ P〈 0.05 ）. the vaginal stump infection rates of treatment group（1/61）was less than that of the control group （5/60）, （P〈0. 05 ）. Conclusion LAVH is significantly better than TVH, which is an ideal surgical method.

关 键 词：腹腔镜 阴式 子宫切除术 

分 类 号：R713.42[医药卫生—妇产科学]