腹腔镜辅助阴式子宫切除术56例临床分析

A Clinical Analysis of 56 Cases of Laparoscopic Assisted Vaginal Hysterectomy

目的探讨腹腔镜辅助阴式子宫切除术(LAVH)的手术指征、手术操作及临床应用价值。方法回顾性分析高州市妇幼保健院2008年1月至2010年1月行子宫全切除术的患者105例,其中腹腔镜辅助阴式子宫切除术56例为观察组,阴式子宫切除术49例为对照组。结果观察组53例顺利完成手术,3例因粘连严重而中转开腹,手术成功率为94.6%(53/56),两组的手术时间相比差异无显著性(P>0.05),但两组的术中出血量、术后的肛门排气时间、下床活动时间、住院时间相比差异有显著性(P<0.05)。结论 LAVH具有安全、微创、患者出血少、康复快、术式简单易掌握等优点。

Objective Laparoscopic hysterectomy（LAVH） the indications,operation and value of clinical applications.Methods A retrospective analysis of maternity and child care centers of gaozhou January 2008 in January 2010 do patients with uterine total resection of 105 cases,laparoscopic hysterectomy auxiliary Yin type 56 cases observation group,Yin type for hysterectomy in 49 cases（control group）.Results The observation group（53 patients successfully completed surgery,3 patients with severe and transferred to opening appendectomy,adhesion success rate of operation 94.6%（53/56）,two groups of operation time there was no significant difference in sex（P0.05）,but the two groups of peri-operative bleeding and postoperative anal exhaust time,activity time,be in hospital bed than time greup（P0.05）.Conclusion LAVH has security,minimally invasive,patients less bleeding,quicker recovery,operation simple easy to master,and so on.