腹腔镜辅助下阴式全子宫切除与开腹全子宫切除术的临床效果比较.pdfVIP

ClinicalMedicalJournalofChina，2009．V01．16，No．1 第16卷第1期 128 中国临床医学2009年2月 ● 论著 ● 腹腔镜辅助下阴式全子宫切除与开腹全子宫 切除术的临床效果比较 黄志华屠蕊沁 (复旦大学附属中山医院妇产科，上海 200032) 摘要 3月阃648例妇科良性疾病非子宫脱垂患者行全子宫切除术，其中开腹组602例和腹腔镜辅助阴道全子宫切除组46例回顾 分析两组患者的临床情况。结果：两组患者在年龄、孕次、既往腹部手术次数、其他系统合并症、体质量指数(BMI)方面差异无 宫切除术具有创伤小、恢复快、住院时间短等优点，但在手术时间等方面仍存在不足。 关键词 子宫切除术； 腹腔镜； 剖腹术， 腹腔镜辅助阴道子宫切除术 中图分类号R713．4+1文献标识码A Clinical on Assisted versusTotalAbdominal ComparisonLaparoscopica¨yVaginalHysterectomy Hysterectomy for ZhihuaTU andObstetrics， UteriHU-ANG ofGynecology Non-prolapsed RuiqinDepartment 200032 ZhongshanH05pital。FudanUniversity。Shanghai Abstract theclinicalcharacteristicsand betweentotalabdominal 0bjective：Tocompare efficacy was chinicalof602ca— assisted madeon data laparoscopicallyvaginalhysterectomy(LAVH)．Methods：Aretrospectiveanalysis ses and46 2003toMarch andcaseswith ofTAH easesofLAVHfromDecember 2008，excludingmalignancy pro— group group werenO differencesbetweenthetwo on abdomi— lapseduteri．Results：Therestatisticallysignificant groupsage，gravidity，past nal diseaseand mass diseaseconstituentratiore- operationhystories。othersystematicallybody index(PO．05)Gynecological timeandbloodloss were differedintwo duri