腹腔镜辅助阴式子宫切除术临床特点探讨.pdfVIP

298 Chin J Hemorh.2012;22(2) doi:10.3969/j.issn.1009-881X.2012.02.042 腹腔镜辅助阴式子宫切除术临床特点探讨 张静平 （马鞍山市妇幼保健院妇产科，安徽马鞍山 243011） 摘要：目的 探讨腹腔镜辅助阴式子宫切除术的临床特点。方法 近期收治的108例全子宫切除术患者，分为经腹全子宫 切除术组（TAH ）、经阴道全子宫切除术组（TVH ）及腹腔镜辅助阴式子宫切除术组（LAVH ），每组各36例，分别进行 比较。结果 三组均未发生严重并发症；术中出血量LAVH组显著少于TVH及TAH组（P ＜0.05 ）；手术时间LAVH组显著高 于TAH及TVH组（P ＜0.05 ）；住院时间LAVH组显著低于TAH及TVH组（P ＜0.05 ）；术后镇痛率TVH组显著低于TAH及 LAVH组（P ＜0.05 ）；术后病率LAVH组及TVH组显著低于TAH组（P ＜0.05 ）。 较传统术式，腹腔镜辅助阴式子宫切 结论 除术具有创伤小、住院时间短等优点，但临床中应用时应严格把握适应症及技术训练，以减少并发症的发生率。 关键词：子宫肌瘤；子宫腺肌症；更年期功能失调性子宫出血；经腹全子宫切除术；经阴道全子宫切除术；腹腔镜辅 助阴式子宫切除术 中图法分类号：R713.4 文献标识码：A 文章编号：1009-881X(2012)02-0298-03 Discussion of Clinical Features of Laparoscopic Assisted Vaginal Hysterectomy ZHANG Jing-ping (Maanshan Maternal and Child Health Hospital,Maanshan,Anhui,243011) Abstract ：Objective To discuss the clinical features of laparoscopic assisted vaginal hysterectomy. Methods 108 hysterectomy patients recently were treated by our institute,and divided into total abdominal hysterectomy group(TAH),transvaginal hysterectomy group(TVH) and laparoscopic assisted vaginal hysterectomy group(LAVH),36 cases in each group,respectively compared.Results No serious complications in three groups;intraoperative blood loss in LAVH group was significantly less than that of TVH and TAH groups(P ＜0.05);operative time in LAVH group was signifi cantly longer than that of TAH and TVH groups(P ＜0.05);hospital stay of LAVH group was signifi cantly shorter than that of TAH and TVH groups(P ＜0.05);rate of postoperative analgesia in TVH group was significantly lower than that of TAH and LAVH group(P ＜