非脱垂子宫3种不同术式全切术比较分析

Comparison and analysis on three kinds of total hysterectomy in treatment of non-prolapsed uterus

目的:探讨非脱垂子宫经腹子宫全切术(TAH)、阴式子宫全切术(TVH)和腹腔镜辅助下阴式子宫全切术(LAVH)3种术式的临床效果。方法:对TAH组、TVH组、LAVH组3组患者的术中、术后情况及治疗费用等方面进行比较。结果:LAVH组手术时间、术中平均出血量、肛门排气时间、术后住院天数明显少于TVH组、TAH组,但费用相对较高;在手术适应证方面,TVH组略小于TAH组和LAVH组,在安全性方面,TAH组则高于TVH组和LAVH组。结论:非脱垂子宫的3种全切术中,LAVH组术中和术后的指标优于TAH组和TVH组;但对于不同的患者,应综合考虑实际情况,采用相应的手术方式。

Objective： To explore the clinical efficacies of total abdominal hysterectomy （TAH）, transvaginal hysterectomy （TVH） and laparoscope assisted vaginal hysterectomy （LAVH） in treatment of non- prolapsed uterus. Methods： The intraoperative and postoperative situations and treatment fee in TAH group, TVH group and LAVH group were compared. Results ： The operative time, intraoperative bleeding loss, anal exhaust time and postoperative hospitalization day in LAVH group were significantly shorter than those in TVH group and TAH group, but the treatment fee was higher; the range of surgical indications in TVH group was smaller than those in TAH group and LAVH group ; the safety of operation in TAH group was＇ higher than those in TVH group and LAVH group. Conclusion ： Among the three kinds of total hysterectomy in treatment of non - prolapsed uterus, the intraoperative and postoperative indexes in LAVH group are superior to those in TAH group and TVH group; for different patients, appropriate methods should be adopted according to their different situations.