改良腹腔镜辅助阴式子宫切除术与经腹子宫全切除术的疗效比较  

Clinical comparative analysis of modified laparoscopic assisted transvaginal hysterectomy and the total resection of abdominal large uterus

作　　者：刘丽洲 

机构地区：[1]南方医科大学附属深圳市妇幼保健院产科,广东深圳518028

出　　处：《中国民族民间医药》2015年第14期41-43,共3页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:观察改良腹腔镜辅助阴式子宫全切除术(LAVH)与经腹子宫全切除术(TAH)的临床疗效差异。方法:选择行子宫全切术202例患者为研究对象。按随机数字表法随机将其分为改良LAVH组(101例)和TAH组(101例)。比较两组手术效果、应激指标变化情况。结果:两组患者手术均成功,未见严重并发症。改良LAVH组术中出血量(74.8±25.7)ml明显低于TAH组(201.4±91.4)ml,肛门排气时间(12.6±4.1)h,明显短于TAH组(49.3±8.1)h,差异具有统计学意义(P<0.05);两组术前皮质醇、C反应蛋白(CRP)水平接近,术后均明显上升,差异具有统计学意义(P<0.05),改良LAVH组升高程度较TAH组低(P<0.05)。结论:行改良LAVH术式切除子宫安全有效,优于经腹子宫全切除术。Objective To compare the clinical effect of modified laparoscopic assisted transvaginal hysterectomy （LAVH） and the total resection of abdominal large uterus （TAH）, in order to guide therapy. Methods 202 cases of patients for hysterectomy as the study objects. They were randomly divided them into modified LAVH group （ n = 101 ） and TAH group （ n = 101 ） . Clinical surgery effect . stress index changes of two groups were compared. Results The operation of two groups patients were successfully completed , no serious complications. The amount of bleeding during the operation of modified LAVH group was （74. 8mL ± 25.7 ） ml lower than TAH group＇ s （201.4mL ±91.4） ml , anal exhaust time was （ 12. 6h ± 4. 1 ） h shorter than TAH group＇ s （49. 3h ± 8. 1 ） h （P 〈 0. 05） ; preoperative cortisol, C reactive protein （CRP） content of two groups closed of two groups , it increased significantly after operation （ P 〈 0. 05 ） , modified LAVH group compared with TAH group , Improvement degree of LAVH group increased lower than that of TAH group （P 〈 0. 05）. Conclusion Modified LAVH surgical removal of uterus is safe and effective.

关 键 词：腹腔镜 阴式子宫切除术 经腹子宫切除术 子宫腺肌病 

分 类 号：R713.42[医药卫生—妇产科学]