腹腔镜辅助阴式治疗大子宫的临床观察

目的探讨腹腔镜辅助下阴式全子宫切术(LAVH)治疗大子宫(>12孕周)的临床疗效。方法按入院的先后顺序,196例需行子宫全切术的大子宫患者被随机分为观察组和对照组,每组98例。观察组行LAVH,对照组行经腹子宫全切除术(TAH)。统计分析两组的临床疗效指标。结果观察组的术中出血量及术后镇痛例数较对照组少,术后病率较对照组低,手术时间较对照组长,而肛门排气时间、住院时间较对照组短,组间比较差异有统计学意义(P<0.05),组间不良反应比较差异无统计学意义(P>0.05)。结论 LAVH具有创伤小、恢复快的优点,优于TAH,值得临床推广应用。

laparoscopic-assisted vaginal hysterectomy for large uterus

Objective To explore the clinical efficacy of laparoscopic assisted vaginal hysterectomy(LAVH) in treatment of large uterus(>12 weeks).Methods According to admission order,196 patients required hysterectomy were randomly divided into observation and control group(n=98).Observation group underwent LAVH,Control group underwent TAH.Then all clinical parameters were were observed.Results Blood loss and postoperative analgesia in cases of observation group than in the control group,postoperative morbidity compared with the control group,the surgical time than in the control group,flatus,length of stay compared with the control group of short,the difference between groups was statistically significant(P<0.05).Adverse reactions between the group had no significant difference(P>0.05).Conclusions LAVH is better than TAH with less trauma and faster recovery advantage,worthy of clinical application.