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3种术式全子宫切除术441例对比分析
引用本文:向大清,陈玲.3种术式全子宫切除术441例对比分析[J].中国妇幼保健,2011,26(7):1005-1006.
作者姓名:向大清  陈玲
作者单位:1. 四川省交通厅公路局医院妇产科,611731
2. 四川省都江堰市人民医院妇产科
摘    要:目的:比较、探讨3种子宫切除术的临床价值。方法:按术式不同将441例患者腹腔镜辅助经阴道子宫切除术(LAVH)组、经阴道全子宫切除术(TVH)组及腹式子宫切除术(TAH)组,比较手术时间、术中出血量和术后情况。结果:3种术式术后均无并发症发生。LAVH组手术时间长于TVH组和TAH组(P<0.05),TVH组和TAH组无统计学差异(P>0.05);LAVH组和TVH组较TAH组出血量多(P<0.05)。术后病率、排气时间、镇痛剂使用率、住院时间等,TAH组与LAVH组和TVH组比较有统计学差异(P<0.05)。结论:3种术式各有利弊,医生在术前应综合评估病情,根据不同个体选择适宜手术方案以达到最佳效果。

关 键 词:子宫切除术  对比分析

Comparison and analysis on 441 cases receiving three kinds of approaches for total hysterectomy
XIANG Da-Qing,CHEN Ling.Comparison and analysis on 441 cases receiving three kinds of approaches for total hysterectomy[J].Maternal and Child Health Care of China,2011,26(7):1005-1006.
Authors:XIANG Da-Qing  CHEN Ling
Institution:XIANG Da-Qing,CHEN Ling.Department of Obstetrics and Gynecology,High Way Bureau Hospital of Sichuan Provincial Ministry of Transportation,Chengdu 611731,Sichuan,China
Abstract:Objective:To compare and explore the clinical values of three kinds of approaches for total hysterectomy. Methods:441 cases were divided into laparoscopic-assisted vaginal hysterectomy(LAVH) group,total vaginal hysterectomy(TVH) group and total abdominal hysterectomy(TAH) group according to different approaches;the operation times,the amounts of blood loss during operation and postoperative conditions in the three groups were compared. Results:No complications occurred in the three groups;the operation time...
Keywords:Hysterectomy  Comparison and analysis  
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