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三种子宫全切术式的临床疗效比较
引用本文:卢春梅,张兰. 三种子宫全切术式的临床疗效比较[J]. 西部医学, 2011, 23(5): 922-923,925. DOI: 10.3969/j.issn.1672-3511.2011.05.052
作者姓名:卢春梅  张兰
作者单位:1. 郫县妇幼保健院妇产科,四川郫县,6111730
2. 巴中市中心医院妇产科,四川巴中,636000
摘    要:目的比较开腹全子宫切除术(TAH)、腹腔镜辅助下阴式全子宫切除术(LAVH)和经阴道全子宫切除术(TVH)的优缺点和疗效,指导子宫全切术式选择。方法对117例全子宫切除术患者按术式分为TAH(48例)、LAVH(31例)和TVH(38例)3组,比较手术时间、出血量、术后镇痛率、手术并发症和住院时间。结果组间的手术时间、术中出血量、术后镇痛率和住院时间两两比较差异有显著性(均P〈0.05);术后并发症组间无显著差异(P〉0.05)。结论 3种子宫全切术式各有优劣,在选择时应趋于个体化,结合患者情况、医院条件等综合考虑,选择最佳的方式。

关 键 词:经腹子宫全切术  阴式子宫全切术  腹腔镜辅助下阴式子宫全切术  疗效比较

Comparison of three types of hysterectomy
LU Chun-mei,ZHANG Lan. Comparison of three types of hysterectomy[J]. , 2011, 23(5): 922-923,925. DOI: 10.3969/j.issn.1672-3511.2011.05.052
Authors:LU Chun-mei  ZHANG Lan
Affiliation:LU Chun-mei,ZHANG Lan (Department of Obstetrics and Gynecology,Pixian Maternal and Child Health Hospital,Pixian 611730,Sichuan)
Abstract:Objective To compare the effects of abdominal hysterectomy(TAH),laparoscopic assisted vaginal hysterectomy resection(LAVH) and vaginal hysterectomy(TVH) to guide the choice of hysterectomy.Methods The clinical data of 48 cases of TAH(TAH Group),31cases of LAVH(LAVH Group and 38 cases of TVH(TVH Group) were retrospectively analyzed.Some of these clinical parameters were compared(including operation time,blood loss,postoperative pain rate,complications,hospital stay,etc.) Results There were statistically sign...
Keywords:Abdominal hysterectomy  Vaginal hysterectomy  Laparoscopic assisted vaginal hysterectomy  Clinical effects.  
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