腹腔镜；_子宫切除；_子宫肌瘤；

3种子宫切除术式的临床应用效果比较

http://www.100md.com 《新疆医科大学学报》 2006年第11期

腹腔镜；,子宫切除；,子宫肌瘤；,子宫腺肌症;,开腹子宫切除术(TAH);,腹腔镜下筋膜内子宫切除术(CISH);,腹腔镜辅助阴式子宫切除术(LAVH),,腹腔镜；,子宫切除；,子宫肌瘤；,子宫

     摘要: 目的: 探讨开腹子宫切除术(TAH)、腹腔镜下筋膜内子宫切除术(CISH)、腹腔镜辅助阴式子宫切除术(LAVH)3种子宫切除方式的临床应用效果。方法: 102例子宫良性病变患者，子宫肌瘤72例，子宫腺肌病30例，分为3组：CISH组32例，LAVH组30例，TAH组40例，对3组患者的手术时间、术中出血量及术后情况进行比较。结果: LAVH、CISH组手术时间较TAH组明显延长，术中出血较TAH组明显减少，术后抗生素使用时间、下床活动时间、肛门排气时间、平均住院日较TAH组明显缩短，差异均有统计学意义(P<0.05)。结论: CISH和LAVH较TAH具有损伤少、恢复快的特点，是有效的子宫切除方式。

    关键词: 腹腔镜；子宫切除；子宫肌瘤；子宫腺肌症; 开腹子宫切除术(TAH); 腹腔镜下筋膜内子宫切除术(CISH); 腹腔镜辅助阴式子宫切除术(LAVH)

    Clinical applied value of different hysterectomy

    HOU Jurong, WANG Hua

    (Department of Obstertrics and Gynecology, Bazhou People's Hospital of Xinjiang, Kuerl 841000, China)

    Abstract: Objective: To approach clinical applied value of different hysterectomy among total abdominal hysterectomy (TAH), classic inferior supercervical hysterectomy (CISH) and laparoscopic assisted vaginal hysterectomy (LAVH). Methods: One hundred and two patients with uterus benign diseases, 72 cases were leiomyomas, 30 cases were adenomyosis,102 cases were divided to three groups, there were 32 cases in CISH group, 30 cases in LAVH group and 40 cases in TAH group, compared with operational time, bleeding condition duriug operation and condition after operation. Results: The operation time of LAVH and CISH groups were longer than TAH group obviously, but operational bleeding were less than TAH group, the time to apply antibiotic after operation, outofbed activity time, passage of gas by anus time, average length of stay were shorter than TAH group obviously (P<0.05). Conclusion: Compare to TAH, CISH and LAVH are effective hystrerectomia modality. Less damage and recover quickly are their features. ......

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