摘要
目的 探讨腹腔镜全子宫切除术（TLH）与腹腔镜辅助下经阴道全子宫切除术（LAVH）的临床应用价值及治疗效果.方法 回顾性分析2012年2月至2014年2月商丘市第一人民医院经LAVH、TLH手术治疗的194例患者的临床资料,比较两组患者手术时间、术中出血量、术后肛门排气、术后住院时间、并发症发生及术后性生活等.结果 TLH组手术时间长于LAVH组,术中出血少于LAVH组,组间比较差异有统计学意义（P＜0.05）;两组术后排气、住院时间、并发症发生等比较差异未见统计学意义（P＞0.05）;术后3、6个月TLH组性生活质量评分优于LAVH组,组间比较差异有统计学意义（P＜0.05）.结论 TLH与LAVH术式均有创伤小、并发症少、术后恢复快等优点,TLH临床效果略优于LAVH.临床应严格适应证,根据术者技术水平及患者病情选择合理手术方式.
Objective To investigate the clinical application value and therapeutic effects of total laparoscope hysterectomy（TLH） and laparoscope assisted vaginal hysterectomy（LAVH）.Methods An retrospective analysis was conducted in terms of 194 patients who received TLH or LAVH operation in the first people＆#39; s hospital of Pingdingshan.The time of operation,introperation hemorrhage,passage of gas by anus,hospitalization time,complication rate and sexual life after the operation were all involved.Results The time of operation of the patients in TLH group was longer than that in LAVH group,but the introperation hemorrhage was less than that in LAVH group.There was significant difference between the two groups（P 〈 0.05）.However,the passage of gas by anus,hospitalization time and complication rate after the operation had no significant difference（P 〉 0.05）,the patients＆#39; quality of sexual life 3 and 6 months after the operation in TLH group was better than that of LAVH group,there was significant difference between the two groups （P 〈 0.05）.Conclusions The TLH and LAVH both have the advantages of small trauma,less complication and fast postoperative recovery.The clinical effect of TLH operation is better than that of LAVH.The indications of them should be clearly and strictly applied and the type of operation should be chosen in accordance with the doctor＆#39; s technological level and patient＆#39; s state of an illness.
出处
《中国实用医刊》
2015年第7期45-46,共2页
Chinese Journal of Practical Medicine
关键词
腹腔镜
全子宫切除
腹腔镜子宫切除术
经阴道全子宫切除术
疗效
Laparoscope
Panhysterectomy
Total laparoscope hysterectomy
Laparoscope assisted vaginal hysterectomy
Curative Effect
