腹腔镜辅助阴式子宫全切术与传统开腹子宫全切术疗效对比

目的比较腹腔镜辅助阴式子宫全切术（Laparoscopic assisted vaginal hysterectomy，LAVH）与传统开腹子宫全切术（Total abdominal hysterectomy，TAH）疗效。方法将90例子宫良性疾病患者根据手术方法分为腹腔镜辅助阴式子宫全切术组（LAVH组）和传统开腹子宫全切术组（TAH组），采用SF-36量表评估生存质量，比较两组患者疗效、术后并发症及生存质量的差异。结果LAVH组患者手术时间显著长于TAH组（P〈0．05），术中出血量、术后镇痛药使用、肛门排气时间、住院时间、术后胃肠道反应、切口疼痛和术后病率显著低于TAH组（P〈0．05）。LAVH组和TAH组患者手术前的生理功能、生理职能、躯体疼痛、总体健康、精力、社会功能、情感职能和心理健康评分比较，差异无统计学意义（P〉0．05）；治疗后，两组患者生理功能、生理职能、躯体疼痛、总体健康、精力、社会功能、情感职能和心理健康评分均显著增加（P〈0．05），LAVH组治疗后评分均显著高于TAH组（P〈0．05）。结论腹腔镜辅助阴式子宫全切术创伤小，术后并发症少，可显著改善患者生存质量，疗效显著高于传统开腹子宫切除术。

Objective To compare the therapeutic effects between laparoscopic assisted vaginal hysterectomy （ LAVH ） and total abdominal hysterectomy （ TAH ） . Methods 90 cases with uterine benign diseases were divided into LAVH group and TAH group according to their Surgical approach. The curative effects and quality of life were compared. Results The amount of bleeding, anesthetic usage, passage time of gas by anus, length of stay and postoperative gastrointestinal discomfort and Incisional pain were significantly lower than in TAH group （ P〈0.05 ） . The postoperative quality of life in LAVH group was better than in TAH group （ P〈0.05 ） . Conclusion Laparoseopic assisted vaginal hysterectomy could significantly improve patients＇ quality of life with little trauma and complications, its therapeutic effect was better than total abdominal hysterectomy.