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目的:探讨腹腔镜辅助阴式子宫切除术(LAVH)的临床应用价值。方法:回顾性分析腹腔镜辅助阴式子宫切除术(LAVH)与经阴道全子宫切除术(TVH)手术70例,分析2种手术方式在手术时间、术中出血量、术后住院时间、术中术后的并发症以及2者的手术适应症的不同。结果:2组在手术时间、术中出血量、术后疼痛、肛门排气时间、术后住院时间等方面差异无显著性。LAVH中转开腹与患者盆腔粘连情况及手术难度情况有关,而TVH组患者多为小于或等于2个月大小的子宫,无盆腔粘连,不伴有附件病变者,手术适应症明显受限。结论:LAVH与TVH均为创伤小、恢复快的微创手术,但TVH适合于子宫小、无手术史、无粘连并且伴脱垂者,LAVH扩大了TVH适应症,在妇科临床上具有更大的应用范围。
Objective: To investigate the clinical value of laparoscopic assisted vaginal hysterectomy (LAVH). Methods: Seventy patients undergoing laparoscopic assisted vaginal hysterectomy (LAVH) and vaginal hysterectomy (TVH) were retrospectively analyzed. The operative time, intraoperative blood loss, postoperative hospital stay, In the postoperative complications and surgical indications of the two different. Results: There was no significant difference in operation time, intraoperative blood loss, postoperative pain, anal exhaust time and postoperative hospital stay. LAVH transit laparotomy and pelvic adhesions in patients with the situation and the difficulty of surgery, while patients with TVH mostly less than or equal to 2 months of the size of the uterus, no pelvic adhesions, without accessory lesions, surgical indications significantly limited. Conclusion: Both LAVH and TVH are minimally invasive and rapid minimally invasive surgeries. However, TVH is suitable for small uterus, history without surgery, no adhesions and associated with prolapse. LAVH enlarges the TVH indications and has more clinical application in gynecology The scope of application.