腹腔镜辅助阴式不同手术方式治疗子宫肌瘤的临床研究.pdfVIP

2013年4月第51卷第 10期 窑临床研究 窑 腹腔镜辅助阴式不同手术方式治疗子宫肌瘤的 临床研究 于晓红1 盛修贵2 冯 羽3 1援山东省章丘市人民医院妇产科袁山东章丘 圆缘园圆园园曰圆援山东省肿瘤医院妇产科袁山东济南 圆缘园员员苑曰 猿援山东省章丘市人民医院康复科袁山东章丘 圆缘园圆园园 [摘要] 目的探讨腹腔镜辅助下阴式全子宫切除术渊LAVH冤尧次全切除术渊LAVSH冤尧子宫肌瘤剔除术渊LATM冤治 疗子宫肌瘤临床效果遥 方法选择2009年 1月耀2012年6月155例择期行子宫手术治疗的子宫肌瘤患者,分别 采用LAVH59例尧LAVSH53例尧LATM43例进行比较袁平均年龄渊42.6依3.2冤岁遥 结果LAVH尧LAVSH尧LATM三 组中转开腹率均为0曰手术时间尧术中出血量三组间有明显差异渊P约0.01冤曰住院时间尧术后排气时间三组间有明 显差异渊P约0.05冤曰并发症的发生率分别是 18.64%尧7.55%尧2.32%袁三组间有明显差异渊P约0.05冤遥 结论 LATM 治疗子宫肌瘤具有术中出血少尧手术时间短尧术后并发症少尧恢复快尧住院时间短等优点遥 [关键词]腹腔镜辅助曰阴式子宫次全切除术曰阴式子宫全切除术曰阴式子宫肌瘤挖除术 [中图分类号] R737.33 [文献标识码] B [文章编号] 1673-9701渊2013冤10-0029-03 Laparoscopy-assistedvaginal surgicalmodalities for uterine fibroid 1 2 3 YUXiaohong SHENG Xiugui FENG Yu 1.Department of Obstetrics and Gynecology, Zhangqiu People爷s Hospital in Shandong Province, Zhangqiu 250200, China; 2.Department of Obstetrics and Gynecology, Shandong Tumor Hospital, Jinan 250117, China; 3.Department of Rehabilitation,Zhangqiu PeoplesHospitalinShandongProvince,Zhangqiu 250200,China [Abstract] Objective To investigate the clinical effectiveness to cure uterine myoma of laparoscopy-assisted vaginal surgicaltreatment ofuterinefibroids includingwith laparoscopy-assisted vaginal hysterectomy 渊LAVH冤,laparoscopy- assisted vaginal subtotal hysterectomy (LAVSH), laparoscopic-assisted vaginal myomectomy (LATM). Methods Com鄄 pared and analyzed 59 cases of the 155women who underwent LAVH with 43 cases underwent LATM and another concurring group of 53 cases bearing similar symptoms under taken LAVSH in our hospital. The average age was 42.6依3.2years. Results Each case in the control group of LATM and incision group of LAVSH, LA