非脱垂子宫三种子宫切除术比较

Comparison of three hysterectomy methods treating non-prolapsed uterus

目的:探讨阴式、经腹及腹腔镜辅助3种手术途径切除子宫的临床效果。方法:回顾性分析经阴道全子宫切除术、腹腔镜辅助阴式全子宫切除术及经腹全子宫切除术的各项术中术后情况。结果:3组患者的术中出血量、术后发病率差异无统计学意义(P>0.05)。3组患者的平均手术时间、肛门恢复排气时间、术后住院天数及住院费用差异均有统计学意义(P<0.05),腹腔镜辅助治疗组的平均手术时间显著高于其它两个组,肛门恢复排气时间和术后住院天数显著低于其它两个组。结论:腹腔镜辅助阴式全子宫切除术是子宫切除的良好选择,临床应根据不同情况选择不同的子宫切除术式以达到最佳治疗效果。

Objective：To discuss the clinical effect of hysterectomy using TAH,TVH and LAVA.Methods：Retrospectively analyze intraoperative and postoperative situation of TAH,TVH and LAVA.Results：Intra-operative bleeding amount and incidence rate of postsurgical fever were not significantly different （P0.05）.The average surgery time,time of anus exhaust recovering and postoperative length of stay were significantly different （P0.05）.The average surgery time of LAVA was significantly higher than the other groups,and the time of anus exhaust recovering and postoperative length of stay were significantly lower than the other groups.Conclusions：LAVA was a good choice of hysterectomy of non-prolapsed uterus.