腹腔镜辅助阴式子宫切除术与阴式全子宫切除术的疗效比较  

Comparison of the Efficacy of Laparoscopic-assisted Vaginal and Vaginal Hysterectomy

作　　者：张静平[1] 

机构地区：[1]安徽省马鞍山市妇幼保健院,安徽马鞍山243000

出　　处：《中国医学创新》2012年第25期10-11,共2页Medical Innovation of China

摘　　要：目的:分析腹腔镜辅助阴式子宫切除术(LAVH)与阴式全子宫切除术(TVH)的手术效果。方法:回顾性分析2010年5月-2011年7月在本院进行子宫切除的110例患者,按其术式分为LAVH组55例及TVH组55例,分析比较两组患者的术中出血量、手术时间、术后体温恢复时间、肛门排气时间、住院时间、住院费用及并发症发生率。结果:LAVH组的术中出血量、手术时间、术后体温恢复时间及术后并发症发生率都少于TVH组(P<0.05)。LAVH组与TVH组的肛门排气时间及住院时间比较差异无统计学意义(P>0.05)。LAVH组的住院费用因术中使用全麻,高于TVH组(P<0.05)。结论:腹腔镜辅助阴式子宫切除术(LAVH)与阴式全子宫切除术(TVH)皆属微创手术,前者费用较高,但手术效果比后者好。Objective：To analysis of the surgical resets of laparoscopic-assisted vaginal hysterectomy （LAVH） and vaginal hysterectomy surgery （TVE）. Method：Retrospective analysises of 110 cases of hysterectomy surgery from May 2010 to July 2011 in author＇s hospital, According to their procedure divided into group A （LAVH group） of 55 cases and group B （TVH group） 55 cases, Analysis of two groups were compared intraoperative blood loss, operative time, postoperative body temperature recovery time, flatus, length of stay in hospital and postoperative morbidity.Result：A group of intraoperative blood loss, operative time, postoperative body temperature recovery time and postoperative morbidity were less than group B（P〈0.05）, there are significant differences. Group A and group B, flatis, and length of stay was no significant difference（P〉0.05）.A group hospitalization costs due to the intraoperative use of general anesthesia was higher than in group B, there were significant differences（P〈0.05） hysterectomy （TVH） are the minimally invasive surgery, The former higher cost, ）.Conclusion：Laparescopic-assisted vaginal hysterectomy （LAVH） and vaginal but the surgical results are better than the latter.

关 键 词：腹腔镜辅助阴式子宫切除术 阴式全子宫切除术 

分 类 号：R713[医药卫生—妇产科学]