腹腔镜辅助阴式子宫全切200例临床分析

Clinical analysis of laparoscopic assisted vaginal hysterectomy in 200 cases

目的:探讨腹腔镜辅助下阴式子宫切除术的临床应用价值。方法:回顾性分析本院2008年1月～2010年10月妇科收治的采用腹腔镜辅助下阴式子宫全切术的子宫良性病变患者200例,选择本院同期开腹子宫全切术病例200例作为对照组,观察两组的手术时间、术中出血量、术后恢复情况、术后并发症及平均住院时间,征求患者对手术的满意度。结果:与开腹子宫全切组相比,腹腔镜辅助下阴式子宫切除术组病例术后最高体温、术后发热率、肛门排气时间均明显低于开腹组(P<0.05),患者术后满意度高于开腹组(P<0.05),但手术时间较开腹组长(P<0.05),两组术中出血量、住院天数差异无统计学意义(P>0.05)。结论:腹腔镜辅助下阴式子宫切除术有明显优点及实用性。

Objective： To evaluate laparoscopic assisted vaginal hysterectomy clinical applications. Methods： A retrospective analyzed of our hospital from January 2008 to October 2010 were admitted with gynecologic laparoscopic assisted vaginal hysterectomy for benign uterine lesions were 200 cases in our hospital over the same period cases of abdominal hysterectomy 200 were the control group were observed in operation time, blood loss, postoperative recovery, postoperative complications and length of stay, to seek the satisfaction of surgical patients. Results： Compared abdominal hysterectomy, laparoscopic assisted vaginal hysterectomy group of cases the highest temperature after surgery, postoperative fever rate, anal exhaust time were significantly lower than the open group （P〈0.05）, patient satisfaction after surgery than open surgery group （P〈0.05）, but the head of surgery longer than laparotomy （P〈0.05）, two groups of blood loss, hospital stay was no difference （P〉0.05）. Conclusion： Laparoscopic assisted vaginal hysterectomy has obvious advantages and practicality.