腹腔镜辅助下阴式子宫切除术与经阴子宫切除术在非脱垂子宫中临床对比研究.docVIP

腹腔镜辅助下阴式子宫切除术与经阴子宫切除术在非脱垂子宫中临床对比研究 　　[摘要] 目的 探讨腹腔镜辅助下阴式子宫切除术与经阴式子宫切除术在非脱垂子宫切除中的临床效果。方法 选取2010年12月―2013年1月期间收治的168例非脱垂子宫行子宫切除患者，其中90例采用腹腔镜辅助阴式子宫切除术（腹腔镜组），78例采用阴式子宫切除（阴式组），对所有患者的临床资料进行回顾性分析并进行对比分析。 结果 腹腔镜组手术时间、术中出血量以及手术费用均多于阴式组，而住院时间明显少于对照组，并发症发生率明显低于对照组，两组对比差异有统计学意义（P0.05）。 结论 阴式子宫切除适用于子宫较小且无盆腔粘连的患者，腹腔镜辅助下子宫切除术手术时间和术中出血量相对较多，手术费用较高，但腹腔镜辅助下子宫切除术视野清晰，适应证广，手术安全性高。 　　[关键词] 非脱垂子宫；腹腔镜辅助阴式子宫切除术；阴式子宫切除术 　　[中图分类号] R713.42 [文献标识码] A [文章编号] 1674-0742（2014）07（a）-0049-02 　　[Abstract] Objective To investigate the clinical effect of laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy in non-prolapsed uterus resection. Methods 168 cases underwent non- prolapsed uterus hysterectomy in our hospital from December， 2010 to January， 2013 were selected. Among them， 90 cases were treated by laparoscopic assisted vaginal hysterectomy （laparoscopic group）， 78 cases were treated by transvaginal hysterectomy（TVH group）. The clinical data of all the patients were retrospectively analyzed and compared. Results The operation time， intraoperative blood loss and operation cost of the laparoscopic group were more than those of the TVH group， but the hospitalization time was obviously less than that of the control group， the complication rate was significantly lower than that of the control group， with statistically significant differences between the two groups （P0.05）. Conclusion Transvaginal hysterectomy is suitable for small uterus without pelvic adhesions； though the operation time and intraoperative hemorrhage volume of laparoscopic assisted hysterectomy are relevantly more and the operation cost is higher， it is safer， and it has clearer vision and wider indications. 　　[Key words] Non-prolapsed uterus； Laparoscopic assisted vaginal hysterectomy； Vaginal hysterectomy 　　随着阴式子宫切除术广泛开展以及腹腔镜技术的普及，子宫切除术的途径逐步向微创化方向发展。临床研究显示腹腔镜辅助下阴式子宫切除术具有创伤小、术中并发症少以及术后恢复快，可仔细检查并处理腹腔内存在的病变，进一步扩大了阴式子宫切除术的适应证[1]。为研究腹腔镜辅助下阴式子宫切除术与经阴式子宫切除术在非脱垂子宫切除中的临床效果，该院选取2010年12月―2013年1月间收治的168例非脱垂子宫行子宫切除患者，其中90例