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目的:评价腹腔镜全子宫切除(LTH)和腹腔镜辅助阴式子宫切除(LAVH)两种术式的临床效果。方法:回顾分析两种腹腔镜子宫切除术1006例的手术时间、出血量、并发症及术后恢复情况等。结果:两组手术时间、并发症差异无显著性(P>0.05)。LTH组出血量193.13±38.21ml,LAVH组出血量156.24±23.3 ml,两组相比差异有显著性(P<0.01)。LTH组术后体温37.6±0.5℃,肠道恢复时间35.71±6.92小时,术后住院日4.1±0.4天;LAVH组术后体温37.9±0.8℃,肠道恢复时间39.37±8.53小时,术后住院日4.7±0.6天。两组相比,术后体温、肠道恢复时间、术后住院日差异均有非常显著性(P<0.01)。结论:LTH组优于LAVH组,如果腹腔镜下操作技巧熟练,LTH是一种理想的全子宫切除术式。
Objective: To evaluate the clinical effects of laparoscopic total hysterectomy (LTH) and laparoscopic assisted vaginal hysterectomy (LAVH). Methods: Retrospective analysis of the operation time, blood loss, complications and postoperative recovery of 1006 cases of laparoscopic hysterectomy. Results: There was no significant difference in operative time and complications between the two groups (P>0.05). The volume of bleeding in the LTH group was 193.13±38.21 ml, and the amount of bleeding in the LAVH group was 156.24±23.3 ml. There was a significant difference between the two groups (P<0.01). The LTH group had a postoperative temperature of 37.6±0.5°C, an intestinal recovery time of 35.71±6.92 hours and a postoperative hospital stay of 4.1±0.4 days. The LAVH group had a postoperative body temperature of 37.9±0.8°C and an intestinal recovery time of 39.37±8.53 hours. Day 4.7 ± 0.6 days. Compared with the two groups, postoperative body temperature, intestinal recovery time, postoperative hospital stay were significantly different (P<0.01). Conclusion: The LTH group is superior to the LAVH group. If laparoscopic surgery techniques are used, LTH is an ideal total hysterectomy.