两种腹腔镜辅助阴式子宫切除术与阴式子宫切除术的临床比较(1)
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[摘要] 目的:比较两种腹腔镜辅助阴式全子宫切除术(LAVHa和LAVHb)和阴式全子宫切除术(TVH)的特点。方法:回顾性分析2006年2月～2010年1月于本院行全子宫切除术173例患者的临床资料,其中,LAVHa 55例,LAVHb 58例,TVH 60例。结果:各组患者均以子宫肌瘤、子宫腺肌症为主要病因,3组患者手术平均时间比较,差异无统计学意义(P>0.05),但LAVHa组患者的平均出血量显著少于TVH组和LAVHb组(P<0.05)。LAVHa组患者切除子宫的体积显著大于其他两组(P<0.05)。LAVHa组手术泌尿系统损伤并发症发生率为3.64%,稍高于LAVHb和TVH组,均发生于开展腹腔镜手术初期,总体并发症较其他两组少。结论:LAVHa患者切除的子宫体积较大,不影响手术时间,出血少,总体并发症较少。
[关键词] 腹腔镜辅助阴式子宫切除术;阴式子宫切除术;临床比较
[中图分类号] R713.4+2 [文献标识码]A [文章编号]1674-4721(2010)04(c)-036-02
Two kinds of laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy clinical comparison
YAO Zhiqin
(Department of obstetrics and Gynecology,Puyang Oil Field General Hospital, Hebei Province,Puyang 457001, China)
[Abstract] Objective: Comparison of two laparoscopic assisted vaginal hysterectomy(LAVHa and LAVHb) and vaginal hysterectomy(TVH) characteristics. Methods: Retrospective analysis from February 2006 to January 2010 in our hospital during the hysterectomy clinical data of 173 patients included LAVHa 55, LAVHb 58, TVH 60. Results: Patients in each group were uterine fibroids,adenomyosis as the main cause,the patients with an average of three times the difference was not statistically significant(P>0.05),but in LAVHa patients,the average blood loss was significantly less than the TVH group and LAVHb group(P<0.05).LAVHa volume of hysterectomy patients was significantly higher than the other two groups(P<0.05).Surgical complications of urinary tract injury rate was 3.64% in LAVHa group,slightly higher than LAVHb and TVH groups. Carry out laparoscopic surgery occurred in the early stage, overall complications less than the other two groups. Conclusion: Removal of the uterus in patients of LAVHa are larger, and does not affect the operation time,less blood loss,fewer overall complications.
[Key words] Laparoscopic assisted vaginal hysterectomy;Vaginal hysterectomy;Clinical comparison
随着妇科微创手术的不断拓展,腹腔镜辅助阴式全子宫切除术及阴式全子宫切除术得以在基层医院广泛开展。如何因人而宜、选择合适的手术方式就成为临床研究和争论的热点。现回顾本院2006年2月～2010年1月行全子宫切除术的患者173例,探讨3种不同微刨子宫切除术的优、缺点,以便于对不同患者选择合适的子宫切除方式。
1 资料与方法
1.1 一般资料
选取2006年2月～2010年1月于本院行全子宫切除术患者173例的临床资料,其中两种腹腔镜辅助阴式全子宫切除术113例,LAVHa 55例,LAVHb 58例,阴式全子宫切除术(TVH)60例(除外脱垂子宫) ......
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