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目的比较腹式子宫切除(TAH)、阴式子宫切除(TVH)、腹腔镜子宫切除(LAVH)对患者的影响。方法回顾性分析本院2010~2012年240例腹式(TAH)、阴式(TVH)、腹腔镜(LAVH)子宫切除患者的手术时间、术中出血量、术后排气时间、下床活动时间、术后住院天数、住院费用、术后满意度、术后六个月性生活满意度。结果 TVH组手术时间最短;TAH组术中出血量最多、术后肛门恢复排气时间最长,LAVH组、TVH组术后下床活动时间早于TAH组,LAVH组术后出院时间早于TVH组、TAH组;LAVH组、TVH组术后满意度明显高于TAH组;LAVH组住院费用最高;术后6个月性生活满意度无差别。结论 3种不同手术方式各有优缺点,不能相互替代,应根据患者疾病特点、意愿和经济能力、手术者技术水平、医院设施等综合考虑。
Objective To compare the effects of abdominal hysterectomy (TAH), vaginal hysterectomy (TVH) and laparoscopic hysterectomy (LAVH) on patients. Methods The clinical data of 240 patients with hysterectomy in our hospital from 2010 to 2012 who underwent TAH, TVH, and LAVH hysterectomy were retrospectively analyzed. The operative time, intraoperative blood loss, postoperative exhaust time, Time, postoperative hospital days, hospitalization costs, postoperative satisfaction, satisfaction with sex life after six months. Results The operation time was the shortest in TVH group. The bleeding volume in operation was the highest in TAH group, and the exhaust time in anal recovery after operation was the longest. The LACH group and TVH group had earlier onset of ambulation than TAH group, and LAVH group had earlier postoperative discharge than TVH Group and TAH group. The postoperative satisfaction of LAVH group and TVH group was significantly higher than that of TAH group. The hospitalization cost was the highest in LAVH group. There was no difference in satisfaction with sex life at 6 months after operation. Conclusions The three different surgical methods have their own advantages and disadvantages, which can not be replaced by each other. They should be considered comprehensively according to the patient’s disease characteristics, willingness and economic ability, technical level of the surgeon and hospital facilities.