腹腔镜辅助阴式子宫切除术临床研究

Clinical study of laparoscopically assisted vaginal hysterectomy

目的探讨腹腔镜辅助阴式子宫切除术的临床价值。方法子宫良性病变须行子宫全切术125例随意分为2组。研究组65例采用腹腔镜辅助阴式子宫切除术(laparoscop ic assisted vaginal hysterectomy,LAVH);对照组60例采用传统开腹全子宫切除术(TAH)。结果手术时间LAVH(127.0±4.1)m in,TAH(70.2±1.7)m in(t=99.669,P=0.000)。术中出血量LAVH(80.1±23.1)m l,TAH(190.8±53.0)m l(t=-15.339,P=0.000)。术后并发症发生率研究组30.8%(20/65),对照组58.3%(35/60),2组比较差异有显著性(2χ=9.621,P=0.002)。结论腹腔镜辅助阴式子宫切除术具有损伤小、出血量少、恢复快等优点,是一种较为理想的手术方式。

Objective To investigate the clinical value of laparoscopically assisted vaginal hysterectomy （LAVH）. Methods A total of 125 cases of benign uterine diseases were freely divided into two groups： 65 cases was given LAVH （LAVH Group） and 60 cases was given traditional total abdominal hysterectomy （TAH Group）. Results The operation time was 127 ±4.1 rain in the LAVH Group and 70 ± 1.7 rain in the TAH Group （ t =99. 669, P =0. 000）. The blood loss was 80 ± 23.1 ml in the LAVH Group and 190.8± 53 ml in the TAH Group （t = - 15. 339, P =0. 000）. The incidence of postoperative complications was 30. 8% （20/65） in the LAVH Group and 58.3% （35/60） in the TAH Group, with significant difference between the two groups （X2 = 9. 621, P = 0. 002）. Conclusions LAVH has advantages of micro - invasion, little blood loss. and auick recovery, being an ideal Drocedure.