腹腔镜辅助下阴式子宫切除术与经阴子宫切除术在非脱垂子宫中的对比研究  

作　　者：汪士辉 

机构地区：[1]河南省焦作市焦煤中央医院门诊部妇产科,河南454000

出　　处：《当代医学》2014年第19期47-48,共2页Contemporary Medicine

摘　　要：比较非脱垂子宫腹腔镜辅助下阴式子宫切除术与经阴子宫切除术的临床效果。方法对河南省焦作市焦煤中央医院2010年9月～2013年9月共98例子宫病变且有手术指征的非脱垂子宫患者随机均分为实验组即腹腔镜辅助下阴式子宫切除术（LAVH）（n=50）和对照组即经阴子宫切除术（TVH）（n=48）。回顾分析2组患者的手术情况以及并发症，对比2组的临床疗效。结果术中出血量、盆腔粘连情况2组差异无统计学意义。LAVH组手术成功率显著高于TVH组，并发症发生率显著低于TVH组，2组差异有统计学意义（P〈0.05）。而TVH组手术费用相对较低、手术时间短则是其主要优势。结论两种手术方式各有优势，腹腔镜辅助下子宫切除术相对于经阴子宫切除术的手术适应症更加广泛且安全。Objective To compare the clinical effect of non-prolapsed uterus by laparoscopic-assisted hysterectomy and transvaginal hysterectomy.Methods 98 patients with uterine lesions and operation indications of non-prolapsed uterus were randomLy divided into treatme-nt group （50cases） and control group （48cases）. In the treatment group they were treated by laparoscopic-assisted hysterectomy, and treated by transvaginal hysterectomy in the control group. Methods retrospective analysis two groups of patients with surgery and complications and compared the clinical curative effect.Results The bleeding volume and Pelvic adhesion had significant difference between two groups. The success rate and indications were higher in the treatment group. Shorter time and lower cost was the control group’s main advantage.Conclusion Two kinds of operation method have advantages. Laparoscopic-assisted hysterectomy was more widely and safer than transvaginal hysterectomy.

关 键 词：腹腔镜辅助阴式子宫切除 经阴子宫切除 非脱垂子宫 

分 类 号：R713.4[医药卫生—妇产科学]