不同术式子宫切除术404例临床分析

目的: 评价腹腔镜子宫切除术(LH)、开腹子宫切除术(TAH)、阴式子宫切除术(TVH)3种术式的临床效果。方法: 回顾性分析各种术式子宫切除术404例的手术时间、出血量、并发症及术后恢复情况等。结果: TAH组手术时间、出血量、住院时间与LH组和TVH组差异均有统计学意义(P<0.01)。LH组手术时间与TVH组差异有统计学意义(P<0.01),而出血量、住院时间与TVH组差异均无统计学意义(P>0.05)。3组手术并发症发生率差异有统计学意义(P<0.05)。结论: 3种术式均为子宫切除的有效术式,各有利弊,应根据医师和患者的具体情况选择适宜的术式。

Clinical analysis of different operative patterns of 404 hysterectomies

Objective: To evaluate the clinical efficacy of three different operative patterns of hysterectomy including laparoscopic hysterectomy(LH),trans-abdominal hysterectomy(TAH) and trans-vaginal hysterectomy(TVH).Methods: A retrospective analysis on 404 patients undergoing hysterectomy was carried out including the operating time,the bleed volume,the complications and the postoperative recovery.Results: The operating time,the bleed volume and hospitalized time in TAH group were longer and greater than those in LH group and TVH group(P<0.01).The operating time was also longer in LH group than in TVH group(P<0.01).It could be found that there was significant difference in surgical complications among the three groups(P<0.05).All patients recovered well postoperatively.Conclusions: The three operative patterns are ideal for hysterectomy.Optimal choice for patients to undergo hysterectomy should depend on idiographic clinic circumstance such as patient condition and preference,the gynaecological surgeon's skills and so on.