免气腹、气腹腹腔镜辅助阴式子宫切除术与传统阴式子宫切除术疗效比较

Comparison of the therapeutic efficacy of gasless laparoscopic assisted transvaginal hysterectomy,laparoscopic assisted transvaginal hysterectomy and traditional transvaginal hysterectomy

目的:比较气腹、免气腹腹腔镜辅助阴式子宫切除术与传统阴式子宫切除术的手术效果,探讨3种术式的临床应用价值。方法:对比分析气腹、免气腹腹腔镜辅助阴式子宫切除术和传统阴式子宫切除术3种术式的手术时间、术中出血量、术后排气时间、住院时间、治疗费用等。结果:3组手术时间、术中出血量、下床活动时间差异无统计学意义(P>0.05),腹腔镜辅助组术后排气时间、住院时间明显短于传统阴式子宫切除术组,差异有统计学意义(P<0.05)。总治疗费用差异无统计学意义(P>0.05)。结论:气腹、免气腹腹腔镜辅助阴式子宫切除术及传统阴式子宫切除术是需行子宫切除术患者较理想的术式,腹腔镜辅助降低了经阴道子宫切除术的手术难度,扩大了阴式子宫切除术的手术范围,患者创伤小,术后康复快,有良好的应用前景。

Objective：To compare the operative effect of laparoscopic assisted vaginal hysterectomy （LAVH）, gasless laparoscopic assisted vaginal hysterectomy （GLAVH） and traditional transvaginal hysterectomy （TVH）, and investigate their clinical application value. Methods：The LAVH, GLAVH and TVH were comparatively analyzed in operative time, blood loss, postoperative venting time, hospital stay and the cost. Results：There was no significant difference in operating time, blood loss, ambulation time and cost in 3 groups （P 〉 0.05 ）. Postoperative venting time and hospital stay in laparoscopic assisted group were less than that of the TVH group （P 〈 0.05 ）. Conclusions：The LAVH, GLAVH and TVH are applicable operations for patients. Assistance of laparoscopy could reduce the operative difficulty, expand the indication of TVH. With less trauma and faster postoperative recovery, this surgery has a good application prospect in the gynecological field.