改良非脱垂子宫腹腔镜辅助下阴式全子宫切除术的临床分析

Laparoscopic-assisted Vaginal Hysterectomy without Prolapsis in New Methods:a Clinical Study

目的比较改良非脱垂子宫腹腔镜辅助下阴式全子宫切除术（简称LAVH）与传统腹式全子宫切除术（简称TAH）的临床应用价值。方法回顾性分析比较，2004年1月-2005年7月本院LAVH56例和TAH50例患者的围手术期情况。结果LAVH组的平均肛门排气时问，平均住院天数，术后疼痛时问明显短于TAH组（P〈0．05）；LAVH组的术后病率明显少于TAH组（P〈0．01）；LAVH组手术时间及术中出血量少于TAH组，但无统计学意义。结论LAVH优于TAH，在临床上有广阔应用前景。

Objective To compare the clinical efficacy between Vaperoscopic-assisted vaingal hysterectomy and trans adomenind hysterectomy. Methods A retrospective study was perfomed using 56 LAVH paitents and 50 TAH paitents in our hospital from January 2004 to July 2005. Resuits LAVH was associated with significantly fewer days of hospitalization, earlier anguish time P（0.05） and lower postoperative morbidity. Conclusion LAVH has several advantages over TAH： the technique is easy to learn and time saving with fewer complicatins . LAVH has worth to be recommended,