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目的比较阴式子宫切除术(TVH)与腹腔镜下经阴道全子宫切除术(LAVH)进行子宫切除的效果。方法将112例患者根据手术方法分为TVH组和LAVH组,每组56例,比较两组患者的手术时间、费用、围术期并发症及住院时间等指标。结果 LAVH组的手术时间及费用、术中出血量明显高于TVH组(P<0.05),两组在围术期并发症及住院时间上比较差异无统计学意义(P>0.05)。结论 TVH和LAVH两种术式在子宫切除术的应用中各有优缺点,应结合患者具体病情、经济能力等综合因素适当选择术式。
Objective To compare the effect of vaginal hysterectomy (TVH) and laparoscopic vaginal hysterectomy (LAVH) for hysterectomy. Methods One hundred and twelve patients were divided into TVH group and LAVH group according to the operation method, with 56 cases in each group. The operation time, cost, perioperative complications and hospital stay were compared between the two groups. Results The operation time, cost and intraoperative blood loss in LAVH group were significantly higher than those in TVH group (P <0.05). There was no significant difference in perioperative complications and hospital stay between the two groups (P> 0.05). Conclusion Both TVH and LAVH have their own advantages and disadvantages in the application of hysterectomy. They should be appropriately selected in combination with the specific conditions of patients and economic ability.