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目的:探讨腹腔镜辅助阴式全子宫切除术(LAVH)的临床效果,并与经腹全子宫切除术(TAH)进行比较。方法:对在广州市红十字会医院行子宫切除术的264例患者的临床资料进行回顾性分析,观察组132例患者采用腹腔镜辅助阴式全子宫切除术,对照组132例患者行经腹全子宫切除术,比较两种术式的手术时间、出血量及住院时间、并发症等情况。结果:观察组术中出血量为(71.4±37.6)ml,术后肛门排气时间为(22.3±1.8)h,术后住院时间为(4±1)天,均优于对照组(P<0.05),手术时间两组无显著差异(P>0.05)。结论:腹腔镜辅助阴式子宫切除术具有创伤小、术后并发症少、恢复快及住院时间短等优点,优于经腹全子宫切除术,值得临床推广应用。
Objective: To investigate the clinical effect of laparoscopic assisted vaginal hysterectomy (LAVH) and compare with abdominal hysterectomy (TAH). Methods: The clinical data of 264 patients who underwent hysterectomy in Guangzhou Red Cross Hospital were retrospectively analyzed. Among 132 patients in observation group, laparoscopic assisted vaginal hysterectomy was used. In control group, 132 patients underwent abdominal hysterectomy Hysterectomy, surgery time comparison, bleeding and hospitalization, complications and so on. Results: The intraoperative blood loss in observation group was (71.4 ± 37.6) ml, the duration of postoperative anal exhaust was (22.3 ± 1.8) h and the length of postoperative hospital stay was (4 ± 1) days, which were better than those in control group (P < 0.05). There was no significant difference in operation time between the two groups (P> 0.05). Conclusion: Laparoscopic assisted vaginal hysterectomy has the advantages of less trauma, less postoperative complications, faster recovery and shorter hospital stay, which is better than transabdominal total hysterectomy. It is worthy of clinical application.