腹腔镜辅助阴式大子宫切除术与开腹大子宫切除术的对比分析.pdfVIP

2 0 1 3 年 2 月 第 3 卷 第 3 期 ·短篇论著· 腹腔镜辅助阴式大子宫切除术与 开腹大子宫切除术的对比分析 ▲ 焦海宁 滕宗荣 喇端端 沈育红 薛 梅 上海交通大学医学院附属瑞金医院妇产科 上海市微创外科临床医学中心妇科，上海 200025 [ 摘要 ] 目的 对比分析腹腔镜辅助阴式大子宫切除术与开腹大子宫切除术的临床疗效。 方法 2007 年 1 月 ~2012 年 8 月，回顾性对比研究 80 例因子宫肌瘤等良性疾病致子宫增大超过孕 3 个月大小的患者行腹腔镜辅助阴式子 宫切除术，与同期行开腹子宫切除术 80 例患者。两组患者年龄、疾病种类、子宫体积大小、腹部手术史等情况差异 无统计学意义（P ＞ 0.05）。 结果 两组手术均顺利完成。LAVH 组手术时间、术中出血量、术后住院时间、下床活 动时间，肛门排气时间及术后镇痛例数均明显少于 TAH 组，差异有统计学意义（P ＜ 0.01）。 结论 腹腔镜辅助阴 式大子宫切除术是安全可行的，但医师应具备丰富的腹腔镜手术经验及技巧。 [ 关键词 ] 腹腔镜辅助阴式子宫切除术；开腹全子宫切除术；大子宫 [ 中图分类号 ] R713.4 [ 文献标识码 ] A [ 文章编号 ] 2095-0616（2013）03-63-03 Clinical study of laparoscopically assisted vaginal hysterectomy and total abdominal hysterectomy for treatment of large uterus JIAO  Haining    TENG  Zongrong    LA  Duanduan    SHEN  Yuhong    XUE  Mei   Department of Gynecology and Obstetrics,Ruijin Hospital of Shanghai Jiaotong University, Shanghai Minimal Invasive Surgery Centre,Shanghai 200025,China [Abstract] 0bjective To compare the clinical relevant outcomes between laparoscopically assisted vaginal hysterectomy and total abdominal hysterectomy for large uterus,explore the reliability and safety of the surgical characteristics about the resection the large uterus. Methods A retrospective analysis was performed between January 2007 and Aug 2012. All patients were benign lesions uterus more than 12 weeks gestation. 80 cases were used to LAVH,and 80 cases were used to TAH．Results In laparoscopic surgery group,operation time,bleeding volume during surgery were less,post-operation body temperature recovered earlier,patients ate food earlier and exsufflation faster,active