3种不同术式子宫切除的临床疗效比较

The clinical curative effect of three different operative methods for hysterectomy

目的:观察腹腔镜辅助阴式子宫切除(LAVH)、开腹全子宫切除(TAH)和阴式全子宫切除(TVH)的临床效果。方法:对3种不同子宫切除术式的手术时间、术中出血量、肛门排气时间、术后下床活动时间、出院时间、住院费用等进行比较分析。结果:TAH组手术时间显著少于LAVH组与TVH组,P<0.05;TAH组平均术中出血量明显少于TVH组与LAVH组,P<0.05;TVH组与LAVH组的术后排气时间无统计学差异,均显著短于TAH组;LAVH组下床活动时间及术后出院时间最短,其次是LVH组,TAH组最长,3组之间差异显著,P<0.05;LAVH组的住院费用显著高于LVH组与TVH组,P<0.05。结论:LAVH具有损伤性小、术后恢复快、并发症少等优点,值得在有条件的医院广泛开展。

Objective：To observe the clinical effect of laparoscopic allyassisted vaginal hysterectomy（LAVH）,transabdominal hysterectomy（TAH） and transvaginal hysterectomy（TVH）. Methods：Operative time,intraoperative bleeding,anus exhaust time,postoperative ambulation time,discharge time,hospitalization expenses were comparatively analyzed among the three different operation way. Results： The operation time in TAH group was significantly shorter than TVH group and LAVH group,P0.05;The average intraoperative bleeding of TAH group was obviously less than TVH group and LAVH group,P0.05;The postoperative exhaust time were not significant difference between TVH group and LAVH group,but were significant earlier than TAH group;postoperative ambulation time and discharge time were the first in LAVH group,followed by LVH group,TAH groups was the longest,there were statistically significant differences amond the three groups;Hospital expenses of LAVH group was higher than LVH group and TAH group,the difference was statistically significant. Conclusion： LAVH has the advantages of traumatic small,postoperative reactions and less complications,it is worth using in conditional hospitals extensively.