经阴道及腹腔镜辅助阴式两种术式切除子宫的临床观察

Clinical Observation of Two Kinds of Operation Modes with Transabdominal Hysterectomy and Laparoscopic Assisted Vaginal Hysterectomy

目的观察经阴道及腹腔镜辅助阴式两种术式切除子宫的临床治疗效果。方法选取2014年1月~2015年6月我院妇科收治的86例子宫切除患者为研究对象,将其随机分为观察组与对照组,观察组给予腹腔镜辅助阴式子宫切除术治疗,对照组给予经阴道子宫切除术治疗,对比分析两组患者临床治疗效果。结果观察组手术时间、住院费用多于对照组,术后首次排气时间、首次下床活动时间、住院时间少于对照组,有统计学意义（P〈0.05）;观察组术后并发症发生率低于对照组,有统计学意义（P〈0.05）。结论腹腔镜辅助阴式子宫切除术的安全性较高,术后恢复快。

Objective To observe the laparoscopic assisted vaginal and Yin type two kinds of operative methods hysterectomy clinical treatment effect. Selection Methods January 2014 ~ June 2015 examples of 86 admitted in our hospital department of gynaecology Gong Qie Chu patients as the research object, its were randomly divided into observation group and control group, the observation group was given Laparoscopic Assisted Vaginal Hysterectomy（LAVH） treatment, the control group given Transabdominal Hysterectomy（TAH） treatment, compared two groups of patients with clinical therapeutic effect. Results Observation group operation time, hospitalization costs more than the control group, postoperative exhaust time, for the first time the first bed activity time, hospitalization time less than the control group, with statistical significance（P 0.05）; Observation group of postoperative complication rate is lower than the control group, with statistical significance（P 0.05）. Conclusion Laparoscopic Assisted Vaginal Hysterectomy of security is higher, postoperative recovery fast.