腹腔镜子宫全切术及阴式子宫全切术临床对比探究.docVIP

腹腔镜子宫全切术及阴式子宫全切术临床对比探究【摘要】 目的 探讨腹腔镜全子宫切除术和阴式全子宫切除术的临床效果。方法 选择本院2007年8~12月于腹腔镜下行全子宫切除术者80例(TLH组) 与同期非脱垂阴式全子官切除术50例(TVH组) 为研究对象。两组疾病类型、子宫大小无明显差异。观察两组手术时间、术中出血、术后体温、术后并发症、胃肠功能恢复、住院时间等情况。结果 两组手术均获成功, 在手术时间、术中出血、术后体温、术后病率、胃肠功能恢复、住院时间及阴道残端愈合情况等方面均相似(P 0. 05)。结论 仅对单纯全子宫切除来讲, 腹腔镜和阴式两者效果相当, 临床可根据具体情况选择不同的子宫切除方式以达到最佳治疗效果。? 【关键词】 全子宫切除术; 腹腔镜; 阴式 ?? Clinical comparative study for total laparoscopic hysterectomy and total Vaginal hysterectomy ZHANG Li-min,HOU Shu-rong, CHEN Hong-ling. Department of Obstetrics and Gynecologic, Chifeng Hospital Inner Mongolia,024000,China 【Abstract】 Objective To comparative analysis the clinical effect of Total Laparoscopic Hysterectomy and Total Vaginal Hysterectomy. Methods 80 patients undergone Total Laparoscopic Hysterectomy (TLH group) and 50 patients undergone Total Vaginal Hysterectomy (TVH group) from August 2008 to December were selected for study. There were no differences between tow groups in the type of disease and the size of the uterus. For both group, the surgery time, amount of bleeding; the temperature after operation; recovery status of gastrointestinal action; hospitalization time; surgical complications and healing status of stump after were observed. Results The similar results had been obtained for two groups in the surgery time ;amount;of bleeding; the temperature after operation; recovery status of gastrointestinal action; hospitalization time; surgical complications and healing status of stump after (P0.05). Conclusion For the pour Panhysterectomy, Total Laparoscopic Hysterectomy and Total Vaginal Hysterectomy had similar treatment effectiveness, Which kind of treatment was chose according to the specific situation .? 【Key words】 Complete Hysterectomy;Laparoscopes;Vaginal surgery 随着医学科技的发展，子宫切除术式也由传统的开腹手术向腹腔镜和阴式手术方式转变，以达到微创的目的。现将本院2007年8~12月行腹腔镜子宫全切术和非脱垂阴式全子宫切除术患者的术中和术后情况进行比较，结果报道如下。? 1 资料与方法? 1.1 一般资料 腹腔镜全子宫切除术组（total laparoscopic hysterectomy,TLH）80例患者以下简称TLH组，平均年龄(46. 3±5. 4) 岁,有下腹部手术史者7例，手术指