摘要
目的:探讨非脱垂子宫经改良阴式全宫切除术(TVH)腹腔镜辅助阴式子宫切除术(LAVH)和腹式子宫全切术(TAH)3种不同途径全子宫切除术的手术方法、术中情况和术后疗效的临床效果分析。方法:回顾分析2011年1月至2015年1月北京市通州区妇幼保健院妇科因良性病变(非脱垂子宫)行全子宫切除术患者共480例,其中腹式全子宫切除术200例(TAH组),改良阴式全子宫切除术160例(TVH组),腹腔镜辅助阴式子宫切除术100例(LAVH组)。比较三组手术方法,术中情况和术后疗效。结果:TVH组的手术时间明显短于LAVH组和TAH组,差异有统计学意义(P<0.01),TAH组的术中出血量明显多于LAVH组和TVH组,差异有统计学意义(P<0.01),TVH组,LAVH组术后排气时间,抗生素使用时间,体温恢复正常时间,住院天数,明显短于TAH组,差异有统计学意义(P<0.01)。住院费用TVH组低于LAVH组。结论:TVH具有手术时间短,创伤小,住院时间短,手术费用低、腹部无手术瘢痕、恢复快等优点。但TVH并不能完全替代LAVH。LAVH拓宽了TVH的适应证,减少创伤。
Objective: To investigate the non-prolapsed uterus through improved vaginal hysterectomy(TVH) laparoscopically assisted vaginal hysterectomy(LAVH)with abdominal hysterectomy(TAH)3 different ways hysterectomy surgical methods, clinical results intraoperative conditions and postoperative efficacy analysis.Methods:Retrospective analysis from January 2011 to January 2014 MCH Tongzhou District of Beijing for benign gynecologic disease(non-prolapsed uterus)underwent hysterectomy in patients with a total of 480 cases, including abdominal hysterectomy 200 cases(TAH group), improved vaginal hysterectomy 160 cases(TVH group), laparoscopically assisted vaginal hysterectomy in 100 cases(LAVH group). Comparison of three surgical methods, intraoperative conditions and postoperative outcome.Results:TVH group operative time was significantly shorter than LAVH group and TAH group, the difference was statistically significant(P<0.01), blood loss was significantly more than LAVH TAH group and TVH group, the difference was statistically significant(P<0.01), TVH group, LAVH group after exhaust time, antibiotic usage time, temperature returned to normal time, length of hospital stay was significantly shorter than the TAH group, the difference was statistically significant(P<0.01). Hospitalization costs TVH group than LAVH group.Conclusion:TVH have shorter operative time, less trauma, shorter hospital stay, lower cost of surgery, abdominal surgery without scars, faster recovery and so on. But it can not completely replace TVH LAVH. TVH LAVH broaden the indications, reducing trauma.
出处
《中国医药导刊》
2015年第12期1192-1193,1196,共3页
Chinese Journal of Medicinal Guide
关键词
子宫切除术腹腔镜
阴式
腹式
Laparoscopic hysterectomy
Vaginal
Abdominal
