腹腔镜辅助下阴式子宫切除术与经阴子宫切除术在非脱垂子宫中的临床对比研究

Clinical Contrast Study of Laparoscopassisted Vaginal Hysterectomy and Vaginal Total Hysterectomy in the case of Non-Prolapsed Uterus

目的:比较腹腔镜辅助阴式子宫切除术和阴式子宫全切除术在非脱垂子宫的临床对比研究。方法:收集2008-2012年间行子宫切除的200例患者采用以上2种方式子宫切除的临床资料,其中阴式子宫全切除术108例(TVH组),腹腔镜子宫全切除术92例(LAVH组),比较两组子宫大小、手术时间、术中出血量、住院时间及术后恢复等。结果:两组在手术时间、出血量、切除子宫大小方面,差异均有统计学意义(P<0.05);在术后恢复、住院时间方面两者差异无统计学意义。结论:对有盆腔粘连、子宫较大的病例,可优先选择腹腔镜辅助阴切,可减少并发症的发生。

Objective： To compare the laparoscopassisted vaginal hysterectomy（LAVH） and vaginal total hysterectomy（VTH） in the case of non-prolapsed uterus.Methods： The clinical data of 200 patients who underwent hysterectomy by LAVH and VTH were collected from 2008 to 2012 in our hospiatl.Of 200 patients,there were 108 cases of VTH（Group V） and 92 cases of LAVH（Group L）.Uterus size,operative time,intraoperative bleeding,hospital staying time and recovery of the post operation were compared between the two groups.Results： Statistic differences were found in operative time,blood loss,and the size of resected uterus between the two groups（P〈0.05）,but there was no significant statistic difference in postoperative recovery and hospital stay time between the two groups.Conclusion： LAVH can be performed in those patients with pelvic adhesion or with a large uterus in order to reduce the complications.