探讨腹腔镜辅助阴式子宫切除术50例的临床疗效

目的：探讨腹腔镜辅助阴式子宫切除的f}缶床疗效。方法：我院2008年11月-2009年10月共施行LAVH50例，另选50例行经腹子宫全切术（TAH组），观察比较两种术式的手术效果及术后并发症情况。结果：LAVH组在手术时间、术中出血量及术后住院时间方面明显短于TAH组，经统计学处理，差异有显著性（P〈0．05）。LAVH组的术后的并发症，包括阴道残端感染、切口延期愈合、胃肠功能紊乱、血栓性静脉炎等的发生率明显低于TAH组并发症的发生率，经统计学处理，差异有显著性（P〈0．05）。结论腹腔镜辅助阴式子宫全切术（laparoscopically assisted hysterectomy，LAVH）具有创伤小、恢复快，住院时间短，术后并发症少，无粘连等优点，值得临床推广和应用。

Objective： To evaluate the laparoscopic-assisted vaginal hysterectomy clinical effect. Methods： The hospital in November 2008 -2009 year in October were performed LAVH 50 cases,elect 50 routine abdominal hysterectomy （TAH group）, observation and comparison of two surgical effect of surgical and postoperative complications. Results： LAVH group operative time, blood loss and postoperative hospitalization time was significantly shorter in the TAH group, by statistical analysis, the difference was significant （P 〈 0.05）. LAVH group of postoperative complications,Including vaginal stump infection, delayed healing of incision, gastrointestinal disorders, thrombophlebitis Yandeng the incidence of complications was significantly lower than the incidence of TAH group, after statistical processing, the difference was significant （P 〈 0.05）. Conclusions Laparoscopic-assisted vaginal hysterectomy （laparoscopically assisted hysterectomy, LAVH） with less trauma and faster recovery, shorter hospital stay, fewer postoperative complications, no adhesions, etc., worthy to be popularized and applied.