腹腔镜辅助阴式与开腹全子宫切除术治疗大子宫的对比分析.pdfVIP

主垦塑垡丛整塑查!!塑生!!旦箜!鲞蔓!!塑!!!!!堕垫堕!!!瑾：Q!!坚!!!塑：!型：!：堕!：!! ·88l· 临床论著· 腹腔镜辅助阴式与开腹全子宫切除术 治疗大子宫的对比分析 棣蠹詹酶艳 (湘南学院附属医院妇产科，郴州423000) 【摘要】 目的 assisted 比较腹腔镜辅助阴式子宫切除术(1aparoscopicailyvaginal 术(trans—abdominalhysterectomy，TAH)治疗大子宫的临床效果。 (12孕周)行LAVH与110例TAH的手术时间、术中出血量、术后恢复情况进行对比分析。结果TAH组手术时间 (109 端息肉5例，与肠线不吸收有关；TAH组术后3个月随访105例，阴道残端息肉l例。此6例给予摘除息肉后痊愈。 结论与TAH相比，LAVH住院时间少，并发症低，即使是大子宫，对许多患者也是安全可行的。 【关键词J 腹腔镜辅助阴式子宫切除术； 开腹子宫切除术； 大子宫 中图分类号：R713．4+2 文献标识：A 文章编号：1009—6604(2009)10—0881—03 of Vaginal andTrans-abdominalfortheTreatmentof ComparisonLaparoscopic·assistedHysterectomy Hysterectomy Large UterusXu of and 423000， Dan，TangMeiyan．DepartmentGynecologyObstetrics，AffiliatedHospitalofXiangnanCollege，Chenzhou China To the of 【Abstract】Objectivecompareefficacylaparoscopic·assistedvaslnalhysterectomy(LAVH)and uterus．MethodsBetween2003 and2008 17 with hysterectomy(TAH)forlarge July December，1patientslargeuterus(12 treatedinour LAVH．The blood uterus)were loss．and gestetionai·week hospitalby operationtime，intraoperative postoperative ofthe were toanotherl 10easesthatunderwentTAH． ResultsThe timeintheTAH recoverypatientscompared operation group W88 shorterthanthatintheLAVH the significantly gronp[(109±27)rainvg(130 LAVH hadamean blood WaS lowerthanthatintheTAH of(121±70)mlloss，which operation，thegroup significantly group the intheTAH ha