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目的比较观察腹腔镜辅助阴式全子宫切除(LAVH)与开腹全子宫切除(TAH)的临床疗效。方法 2010年1月~2011年1月,98例子宫全切除术的患者随机分为LAVH组和TAH组,每组49例,比较观察两组的手术效果及术后并发症情况。结果 LAVH组的术中出血量明显少于TAH组(P<0.05),手术时间长于TAH组(P<0.05),住院时间及排气时间均明显短于TAH组(P<0.05)。LAVH组的切口延期愈合、切口疼痛、阴道残端感染、胃肠功能紊乱及血栓性静脉炎发生率均明显少于TAH组(P<0.05)。结论 LAVH虽手术时间较长,但较TAH能够明显缩短患者排气时间和住院时间,减少术中出血量,减少并发症,值得临床推广应用。
Objective To compare the clinical effects of laparoscopic assisted vaginal hysterectomy (LAVH) and open hysterectomy (TAH). Methods From January 2010 to January 2011, 98 cases of hysterectomy patients were randomly divided into LAVH group and TAH group, 49 cases in each group. The operative effect and postoperative complications were compared between the two groups. Results The blood loss in LAVH group was significantly less than that in TAH group (P <0.05). The operation time was longer in TAH group than in TAH group (P <0.05). The hospitalization time and exhaust time were significantly shorter in LAVH group than those in TAH group (P <0.05). Incision delayed healing, incision pain, vaginal stump infection, gastrointestinal disorders and thrombophlebitis were significantly less in the LAVH group than in the TAH group (P <0.05). Conclusions Although LAVH has a longer operation time, it can significantly shorten the exhaust time and hospitalization time, reduce the amount of intraoperative bleeding and reduce the complications, which is worthy of clinical application.