腹腔镜辅助下阴式全子宫切除术与腹腔镜全子宫切除术的临床比较  

Clinical comparison between laparoscopic assisted vaginal hysterectomy and total laparoscopic hysterectomy

作　　者：刘慧娟 Liu Huijuan(Department of Gynaecology and Obstetrics,Traditional Chinese Medicine Hospital of Feng County,Jiangsu Xuzhou 221700)

机构地区：[1]丰县中医医院妇产科,江苏徐州221700

出　　处：《中国社区医师》2021年第31期20-21,共2页Chinese Community Doctors

摘　　要：目的:比较腹腔镜辅助下阴式全子宫切除术(LAVH)与腹腔镜全子宫切除术(LTH)的临床效果。方法:2019年11月-2020年10月收治子宫良性病变患者40例,随机分为两组,各20例。对照组给予LTH治疗;观察组给予LAVH治疗。比较两组治疗效果。结果:观察组手术用时、术中失血量、排气用时、下床用时和住院用时均低于对照组,差异有统计学意义(P<0.05);观察组术后各时段疼痛视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。结论:子宫良性病变患者采用LAVH治疗的损伤轻,可明显降低疼痛度,缩短康复时间。Objective:To compare the clinical effects between laparoscopic assisted vaginal hysterectomy(LAVH)and total laparoscopic hysterectomy(LTH).Methods:From November 2019 to October 2020,40 patients with benign uterine lesions were selected and randomly divided into two groups with 20 cases in each group.The control group was treated with LTH.The observation group was treated with LAVH.The therapeutic effects between the two groups were compared.Results:The operation time,intraoperative blood loss volume,exhaust time,time of getting out of bed and time of hospitalization in the observation group were all lower than the control group,the differences were statistically significant(P<0.05).The VAS score of the observation group was lower than the control group at all postoperative periods,the difference was statistically significant(P<0.05).Conclusion:LAVH can significantly reduce the pain and shorten the recovery time in patients with benign uterine lesions.

关 键 词：子宫切除术 疼痛 腹腔镜 并发症 良性病变 

分 类 号：R713.42[医药卫生—妇产科学]