腹腔镜辅助阴式不同手术方式治疗子宫肌瘤的临床研究

目的探讨腹腔镜辅助下阴式全子宫切除术（LAVH）、次全切除术（LAVSH）、子宫肌瘤剔除术（LATM）治疗子宫肌瘤临床效果。方法选择2009年1月～2012年6月155例择期行子宫手术治疗的子宫肌瘤患者,分别采用LAVH 59例、LAVSH 53例、LATM 43例进行比较,平均年龄（42.6±3.2）岁。结果 LAVH、LAVSH、LATM三组中转开腹率均为0;手术时间、术中出血量三组间有明显差异（P〈0.01）;住院时间、术后排气时间三组间有明显差异（P〈0.05）;并发症的发生率分别是18.64%、7.55%、2.32%,三组间有明显差异（P〈0.05）。结论 LATM治疗子宫肌瘤具有术中出血少、手术时间短、术后并发症少、恢复快、住院时间短等优点。

Laparoscopy-assisted vaginal surgical modalities for uterine fibroid

Objective To investigate the clinical effectiveness to cure uterine myoma of laparoscopy-assisted vaginal surgical treatment of uterine fibroids including with laparoscopy-assisted vaginal hysterectomy（LAVH）,laparoscopyassisted vaginal subtotal hysterectomy（LAVSH）,laparoscopic-assisted vaginal myomectomy（LATM）.Methods Compared and analyzed 59 cases of the 155 women who underwent LAVH with 43 cases underwent LATM and another concurring group of 53 cases bearing similar symptoms under taken LAVSH in our hospital.The average age was 42.6±3.2 years.Results Each case in the control group of LATM and incision group of LAVSH,LAVH passage turns out to all-round success,with small complications while-operation and post-operation.In contrast to the incision group,the operation time consumption was lower and the postoperative hospital stay was shorter.The distinct borne by the three groups was remarkable and striking（P〈0.01）;blood loss and the time span from after operation to anal gas discharge was significantly shortened.The distinct borne by the three groups was remarkable and striking（P〈0.05）;The complication rate appeared 18.64% in LAVH,appeared 7.55% in LAVSH and appeared 2.32% in LATM.The distinct borne by the three groups was remarkable and striking（P〈0.05）.Conclusion This study suggests that patients underwent LATM shows shorter operating time,fewer blood loss,better postoperative live qualities and lower complication rate.Patient’s after-operation activities off bed start sooner,and with shorter in-hospital treatment time.