摘要
目的比较开腹全子宫切除术(TAH)、腹腔镜辅助下阴式全子宫切除术(LAVH)和经阴道全子宫切除术(TVH)的优缺点和疗效,指导子宫全切术式选择。方法对117例全子宫切除术患者按术式分为TAH(48例)、LAVH(31例)和TVH(38例)3组,比较手术时间、出血量、术后镇痛率、手术并发症和住院时间。结果组间的手术时间、术中出血量、术后镇痛率和住院时间两两比较差异有显著性(均P<0.05);术后并发症组间无显著差异(P>0.05)。结论 3种子宫全切术式各有优劣,在选择时应趋于个体化,结合患者情况、医院条件等综合考虑,选择最佳的方式。
Objective To compare the effects of abdominal hysterectomy（TAH）,laparoscopic assisted vaginal hysterectomy resection（LAVH） and vaginal hysterectomy（TVH） to guide the choice of hysterectomy.Methods The clinical data of 48 cases of TAH（TAH Group）,31cases of LAVH（LAVH Group and 38 cases of TVH（TVH Group） were retrospectively analyzed.Some of these clinical parameters were compared（including operation time,blood loss,postoperative pain rate,complications,hospital stay,etc.） Results There were statistically significant difference between indicators including operation time,blood loss,postoperative analgesia rate and hospital stay compared between the group differences（P0.05） and there was no significant difference for comparing three groups of postoperative complications（P0.05）.Conclusion 3 kinds of hysterectomy in the surgical procedures have advantages and disadvantages.
出处
《西部医学》
2011年第5期922-923,925,共3页
Medical Journal of West China
