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目的探讨经阴道及腹腔镜辅助阴式两种术式切除子宫的临床效果。方法选取长葛卫生职业中等专业学校2012年7月至2013年7月收治的180例需要采取子宫切除术进行治疗的患者为研究对象,将其随机分成A组与B组,A组98例给予阴道阴式子宫切除术(TVH),B组82例给予腹腔镜辅助下阴式子宫切除术(LAVH),观察两组患者的临床效果。结果两组均成功施行手术,术后排气时间、下床时间、住院时间以及术后并发症发生率方面比较差异无统计学意义(P>0.05);A组手术时间、术中出血量以及住院费用明显较B组短,差异有统计学意义(P<0.05)。结论采取TVH术式切除子宫手术的时间比LAVH短,术中出血量较少,住院费用较低,LAVH术式对于不适合应用TVH术式的患者较为适用,临床上要根据患者具体情况进行选择。
Objective To investigate the clinical effects of transvaginal and laparoscopic assisted vaginal surgery in the removal of the uterus. Methods A total of 180 patients undergoing hysterectomy were enrolled in the Changge Health Vocational Secondary School from July 2012 to July 2013. The patients were randomly divided into group A and group B. Group A received 98 cases Vaginal vaginal hysterectomy (TVH), 82 cases of group B laparoscopic-assisted vaginal hysterectomy (LAVH), the clinical efficacy of two groups were observed. Results There was no significant difference between the two groups in successful operation, postoperative exhaust time, time to bed, hospital stay and incidence of postoperative complications (P> 0.05); A group of operation time, intraoperative blood loss and Hospitalization costs significantly shorter than the B group, the difference was statistically significant (P <0.05). Conclusion TVH surgical removal of the uterus surgery time shorter than LAVH, less blood loss, lower hospitalization costs, LAVH surgery is not suitable for patients with TVH surgery is more suitable for clinical choice according to the specific circumstances of patients .