腹腔镜辅助阴式子宫切除40例临床分析

目的:探讨腹腔镜辅助阴式子宫切除术(LAVH)的临床意义。方法:回顾性分析2007年6月~2008年1月我院妇科施行LAVH和AH的病例,并对其术后恢复情况进行比较。结果:术中出血量LAVH组(102.45±45.36)ml较AH组(180.62±56.43)ml明显减少(P<0.05);术后肛门排气时间LAVH组(20.32±6.34)h较AH组(31.21±10.42)h明显缩短(P<0.05);术后病率LAVH组较AH组明显减少(P<0.05);住院时间LAVH组(4.92±1.20)d较AH组(7.28±2.14)d明显缩短(P<0.05)。两种术式的手术时间差异无显著性(P>0.05)。结论:LAVH具有创伤小,术中出血少,术后病率低,恢复快等优点,值得临床推广。

Evaluation on laparoscopy-assisted vaginal hysterectomy in 40 cases

Objective：To evaluate the clinical effect of laparoscopy-assist- ed transvaginal hysterectomy. （LAVH） by comparison with trans abdominal hysterectomy （AH）. Methods ： The clinical data of patients during June 2007 and Jan 2008 undergone LAVH or AH were reviewed on the procedure and postoperative recovery. Results： Intraoperative blood loss in LAVH group（ 102.45 ± 45.36） ml was less than that （180.62 ± 56.43） ml in AH group（ P 〈 0.05）. The return to normal bowel movement after the procedure （20.32 ± 6, 34） h in HAVH group vs （31.21 ± 10.42） h, （P〈0.05）in AH group and the postoperative incidence of morbidity risk was less seen in LAVH（P 〈 0.05）. The time consumption in both procedures measured similarly equal, but LAVH required shortened length of hospital stay as compared with that of AH （4.92 ± 1.20） d vs （7.28 ± 2.14） d, P〈0. 05]. Conclusion ： LAVH should be preferable in clinic practice for its minimal invasion, less intraoperative blood loss and complications but with quick recovery