摘要
目的比较腹腔镜辅助阴式子宫切除术(laparoscopic-assisted vaginal hysterectomy,LAVH)及全腹腔镜子宫切除术(total laparoscopic hysterectomy,TLH)的临床价值。方法2004年1月~2006年8月,因子宫良性疾病行LAVH128例和TLH42例,从手术时间、术中出血量、术后住院时间、术后并发症发生率等方面进行对比分析。结果所有病例均在镜下完成,无一例中转开腹。2组肛门恢复排气时间、术后住院时间、术后并发症发生率差异均无显著性(P>0.05)。手术时间LAVH组短于TLH组[(95.6±18.2)min对(112.9±24.5)min,t=-4.883,P=0.000],但术中出血量以LAVH组为多[(73.8±50.8)ml对(49.8±26.9)ml,t=2.926,P=0.004]。结论应用腹腔镜行全子宫切除是安全可行的,LAVH和TLH各有优势,但对经验丰富的术者而言,TLH更为合适。
Objective To compare the clinical value of laparoscopic-assisted vaginal hysterectomy (LAVH) and total laparoscopic hysterectomy (TLH). Methods From January 2004 to August 2006, 128 cases of LAVH (LAVH group) and 42 cases of TLH (TLH group) were analyzed retrospectively. All the patients had benign lesions. The operation time, intraoperative blood loss, postoperative hospital stay, and rate of postoperative complications were compared between the two groups. Results All the laparoscopic operations were comp...
出处
《中国微创外科杂志》
CSCD
2008年第6期515-517,共3页
Chinese Journal of Minimally Invasive Surgery
