腹腔镜辅助阴式子宫切除术与经腹子宫切除术的临床对照研究  

Clinical Study of Laparoscopically Assisted Vaginal Hysterectomy Versus Total Abdominal Hysterectomy

作　　者：林穗青[1] 白俊[2] 黄胡信[2] 

机构地区：[1]复旦大学附属中山医院妇产科,上海200032 [2]澳大利亚新南威尔士大学利物浦医院妇产科

出　　处：《中国临床医学》2001年第5期483-484,共2页Chinese Journal of Clinical Medicine

摘　　要：目的 :比较腹腔镜辅助阴道子宫切除术与经腹子宫切除术两种手术的临床效果。方法 :12 0名患妇科良性疾病、需行子宫切除术、子宫小于孕 12周患者。随机分成 2组。I组 (6 0例 )行腹腔镜辅助阴式子宫切除术 ,II组 (6 0例 )行经腹子宫切除术 ,由同一组医师施行手术。结果 :两组患者在年龄、以往手术史、术前血常规、子宫平均重量等之间无明显差异 (P >0 .0 5 )。I组术中出血量、术后血红蛋白下降、术后疼痛评分、术后住院天数明显比II组少 (P <0 .0 5 )。I组手术时间比II组长 (P <0 .0 5 )。两组手术均未出现严重并发症。结论 :腹腔镜辅助阴式子宫切除术具有创伤小、出血少、恢复快等特点。妇科医师通过良好的腹腔镜手术操作技能培训 ,大部分经腹子宫切除术及部分原不适宜行阴式子宫切除术可改行腹腔镜辅助阴式子宫切除术。Objective: To compare the clinical result of laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy. Methods: One hundred and twenty patients suffered from different kinds of benign gynecological diseases referred for abdominal hysterectomy were randomized to divided into two groups. Group I(60 patients): LAVH. Group II(60 patients): AH. All operations were performed by one group doctors. Results: There were no differences in terms of patient's age, previous pelvic surgery, mean uterine weight between the two groups( P >0.05). Estimated blood losses, postoperative day 1 hemoglobin drop, postoperative pain and postoperative hospital stay were significantly lower for group I than that of group II(AH)( P <0.05). Total operating time of group I was longer than that of group II( P <0.05). There were no severe complication in the two groups operations. Conclusions: LAVH is less damage and blood losses, but recover faster than AH. Given adequate training in laparoscopic surgery, LAVH may replace AH in large part of patients who require a hysterectomy and have contraindications to vaginal hysterectomy.

关 键 词：子宫切除术 腹腔镜检查 剖腹术 腹腔镜辅助阴道子宫切除术 

分 类 号：R713.4[医药卫生—妇产科学]