腹腔镜辅助阴式全子宫切除术效果分析

Laparoscopic assisted vaginal hysterectomy effectiveness analysis

目的探讨腹腔镜辅助阴式子宫切除术的手术方法、技术要点及临床疗效。方法回顾性分析我院2009年10月至2010年12月50例腹腔镜辅助阴式子宫切除术患者（LAVH组）手术的方法、术后各项指标等，且与同期开腹（TAH组）及阴式子宫切除术（TVH组）者中各随机抽取60例作为对照进行分析对比。结果LAVH组术中出血量、肛门排气时间、术后发热率、感染率、住院天数、下床时间分别为（101．6±6．2）ml，（22．9±6．1）min、2％，0、（5．0±1．5）d、（25．1±5．3）h；TAH组上述指标分别为：（174．0±6．9）ml、（35．3±4．3）min、10％、3．3％，（8．5±1．6）d，（56．4±6．1）h；TVH，H组分另4为：（189．0±8．2）ml，（26．0±8．2）min，6．7％，1．7％，（7．8±3．5）d，（49．4±3．8）h；LAVH组与TAH组间比较t值或）（2值分别为1．998、2．065、2．087、2．132、2．122、2．064，LAVH组与rrVH组间比较t值或X^2值分别为2．189、2．234、1．995、2．094、2．114、2．124，P均〈0．05，差异均有统计学意义。结论腹腔镜辅助改良阴式子宫切除术较开腹、阴式子宫切除术具有出血少、对身体损伤小、恢复快、并发症少的优点，是安全、有效的术式，为子宫切除提供了一种可选择的方法，值得推广。；

Objective To explore operation method, key technique and clinical therapeutic effect of laparosc0py assisted vaginal hysterectomy. Methods Retrospective analysis was conducted on operation method and post operative clinical data of 50 cases had LAVH （LAVH group ）, 60 cases had total abdominal hysterectomy （TAH group ） and 60 cases had transvaginal hysterectomy （TVH group ）, treated from October 2009 to December 2010. Results The blood loss during operation, time to first flatus,incidence of postoperative pyrexia, hospitalization day, time of getting out of bed in LAVH group were （ 101.6 ＋ 6.2 ） ml, （ 22.9 ± 6.1 ） min,2% ,0,（5.0± 1.5）d,（25.1±5.3）h; the 7 indices in TAH group were （174.0±6.9）m1,（35.3 ±4.3） min,10% ,3.3% ,（8.5 ±1.6）d,（56.4±6.1）h; and the 7 indices in the TVH group were （189.0±8.2）m1, （ 26.0 ± 8.2） min ,6.7% , 1.7% , （7.8± 3.5 ） d, （49.± 3.8 ） h. The numbers in LAVH group were all lower than those in TAH group and TVH group （ Ps 〈 0.05 ）. Conclusion LAVH has advantages of less operation blood loss,less injury to body and sooner recovery, less complications compared with TAH and TVH. This is a safe and effective oneration type. which is worth of oonulafizing.