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目的:探究腹腔镜全子宫切除术(TLH)与腹腔镜辅助阴式全子宫切除术(LAVH)对患者盆底功能产生的影响。方法:回顾性分析保山市第二人民医院2012年3月-2014年3月160例需进行子宫切除术的患者,按照子宫切除方式的不同分为对照组与观察组,每组80例,对照组行腹腔镜全子宫切除术,观察组行腹腔镜辅助阴式全子宫切除术,观察术后对患者盆底功能的影响。结果:观察组患者的手术时间、术后肛门首次排气的时间以及住院天数与对照组相比略有变化,组间比较,差异无统计学意义(P>0.05);观察组的术中出血量明显少于对照组,差异具有统计学意义(P<0.05)。观察组患者术后阴道顶端脱垂程度、直肠或膀胱膨出程度以及尿失禁程度与对照组相比较低,差异具有统计学意义(P<0.05)。结论:实施TLH、LAVH对患者进行子宫切除,LAVH术中的出血量较TLH术中出血量较少,且术后对患者盆底功能的影响较小,应用于子宫切除的效果更明显,能够减少患者术后阴道顶端脱垂、直肠或膀胱膨出以及尿失禁的发生率和严重程度。
Objective: To investigate the effect of laparoscopic total hysterectomy (TLH) and laparoscopic assisted vaginal hysterectomy (LAVH) on pelvic floor function in patients. Methods: A retrospective analysis of Baoshan Second People’s Hospital from March 2012 to March 2014 160 cases required hysterectomy patients, according to the different ways of hysterectomy control group and observation group, 80 cases in each group, control Group laparoscopic total hysterectomy, observation group underwent laparoscopic assisted vaginal hysterectomy, postoperative pelvic floor function were observed. Results: The operation time of the observation group, the time of first exflation of the anus and length of hospital stay were slightly changed compared with the control group. There was no significant difference between the two groups (P> 0.05). The intraoperative blood loss The difference was statistically significant (P <0.05). The degree of postoperative vaginal apical prolapse, degree of rectal or cystocele and urinary incontinence in the observation group were lower than those in the control group (P <0.05). Conclusion: Hysterectomy was performed in patients with TLH and LAVH. The amount of bleeding in LAVH was less than that in TLH, and the effect on postoperative pelvic floor function was small. The effect of hysterectomy was more obvious Reduce the incidence and severity of postoperative vaginal apical prolapse, rectal or cystocele, and urinary incontinence.