腹腔镜辅助阴式子宫切除术的回顾性研究

Retrospective study on laparoscopy assisted vaginal hysterectomy

目的探讨腹腔镜辅助阴式子宫切除术(LAVH)的手术方法、技术要点及临床疗效。方法回顾性分析该院2007年10月至2009年12月间30例LAVH手术的方法、术后各项临床指标等,且与同期开腹子宫切除术(开腹组)40例、阴式子宫切除术(阴式组)40例进行分析对比。结果 LAVH组手术时间、肛门排气时间、术后发热、感染率、术后住院天数,术中出血量、下床时间均少于开腹组和阴式组(P<0.05)。结论腹腔镜辅助阴式子宫切除术较开腹、阴式子宫切除术具有手术时间短、出血少、恢复快的优点。

Objective To explore operation method and technique highlight and clinical therapeutic effect of lapa- roecopy assisted vaginal hysterectomy （LAVH）. Methods Retrospective analysis was conducted on operation method and clinical data after operation of 30 cases of LAVH（LAVH group ）,40 cases of total abdominal hysterectomy （TAH group） and 40 cases of transvaginal hysterectomy （ TVH group） enrolled from October 2007 to November 2009. Result The operative time,time to first flatus, incidence of postoperative pyrexia, hospitalization day, blood loss during operation, and time of getting out of bed in LAVH group were all less than those in TAH group and TVH group （ all P 〈 0. 05 ）. Conclusion LAVH has advantages of less operation time, blood loss, and sooner recovery compared with TAH and TVH.