腹腔镜辅助阴式子宫切除37例临床分析

Clinical Analysis of Laparoscopic-assited Vaginal Hysterectomy in 37 Cases

目的通过对腹腔镜辅助阴式子宫切除术(LAVH)和经腹子宫切除术(TAH)两种方法的比较,探讨腹腔镜辅助阴式子宫切除术(LAVH)的优越性。方法回顾性分析2008年1月-2009年6月在妇科施行LAVH和TAH的病例,对术后恢复情况进行比较。结果术中出血量LAVH组(103.75±46.73)ml比TAH组(181.72±54.37)ml明显减少(P<0.05)。术后肛门排气时间LAVH组(20.48±6.20)h比TAH组(30.26±11.41)h明显缩短(P<0.05)。术后病率LAVH组比TAH组明显减少(P<0.05)。术后住院时间LAVH组(4.95±1.21)d比TAH组(7.18±2.62)d明显缩短(P<0.05)。两种术式的手术时间差异无统计学意义(P>0.05)。结论 LAVH具有创伤小、术中出血少、术后病率低、恢复快等优点,值得推广。

Objective To compare the Laparoscopic-assisted vaginal hysterectomy with the abdominal hysterectomy,and to explore the clinical value of laparoscopic-assisted vaginal hysterectomy.Methods The post-operative conditions were retrospectively studied about the patients who were operated by LAVH and AH in our hospital from January 2008 to June 2009.Results The bleed in the LAVH group（103.75±46.73）ml was significantly less than that of the AH group（181.72±54.37）ml（P 0.05）;The time of the first passage of gas in the LAVH group（20.48±6.20）h was significantly shorter than that of the AH group（30.26±11.41）h（P0.05）.The postoperative morbidity in the LAVH group was less than the AH group（P0.05）.The postoperative hospitalization in the LAVH（4.95±1.21）d group was shorter than the AH group（7.18±2.62）d（P0.05）.No significant difference was found in the operative time（P0.05）.Conclusion LAVH should be popularized because it had the obvious advantage of minimal wound,the less blood loss,lower post-operative morbidity,and the fast postoperative recovery.