摘要
目的探讨改良式腹腔镜辅助阴式全子宫切除术临床应用的安全性及疗效。方法选择2011年1月至2012年4月在我院行全子宫切除术的患者60例，随机分为实验组与对照组，实验组行改良式腹腔镜辅助阴式全子宫切除术，对照组行腹腔镜辅助阴式全子宫切除术，比较两组患者的术中及术后的相关情况。结果两组患者的手术时间、术中出血量、术后排气时间、术后盆腔引流量相比，差异有统计学意义（P〈0．05）。子宫大小及术后住院天数两组差异无统计学意义（P〉0．05）。结论改良式腹腔镜辅助阴式全子宫切除术的手术时间短，术中出血量少，比TLH的临床疗效更佳，在临床上可替代TLH应用。
Objective To explore the clinical efficacy and safety of modified laparoscopically assisted vaginal hysterectomy （ LAVH ）. Methods 60 patients who had been hospitalized from January 2011 to April 2012 were randomly divided into study group and control group, 30 for each group. The study group received modified LAVH while the control group underwent ordinary LAVH. The intra-operative and post-operative conditions were compared between the two groups. Results There were significant differ- ences in mean surgical duration, intra-operative blood loss, time to postoperative anal exsufflation, and volume of postoperative pelvic drainage between the study group and the control group （ P〈 0.05 ）. Size of the uterus and lengh of hospital stay did not differ significantly （ P 〉 0.05 ）. Conclusions Modified laparoscopically assisted vaginal hysterectomy has shorter surgcial duration, less intra-operative bleeding, and more efficacious. It can replace the ordinary procedure in clinical practice.
出处
《国际医药卫生导报》
2012年第23期3457-3459,共3页
International Medicine and Health Guidance News
关键词
改良式
腹腔镜
阴式全子宫切除术
Modified procedure
Laparoscopy
Vaginal hysterectomy
