腹腔镜子宫切除术和腹腔镜辅助阴式子宫切除术临床比较

目的:比较腹腔镜子宫切除术(TL)和腹腔镜辅助阴式子宫切除术(LAV﹚治疗妇科良性疾病的可行性。方法:回顾性分析168例经过TL或LAV治疗的患者病历资料。结果:两组患者的年龄、剖宫分娩史、体重指数和子宫病变类型差异无统计学意义,两组手术方式的手术时间差异无统计学意义(P>0.05),血红蛋白含量变化在LAV组明显高于TL组,切除子宫重量在LAV组明显大于TL组(P<0.01),10例患者由于切除子宫大或(和)子宫下部包块由TL方式改为LAV方式。结论:TL和LAV都是安全的子宫切除方式,LAV更适用于子宫下部包块或子宫相对大的患者。

Clinical comparison of total laparoscopic hysterectomy and laparoscopy-assisted vaginal hysterectomy

Objective: To compare the feasibility of total laparoscopic hysterectomy(TL) and laparoscopy-assisted vaginal hysterectomy(LAV) in the treatment of benign gynecologic diseases.Methods: A retrospective medical records review of 168 patients who underwent TL or LAV by one surgeon.Results: There were no differences between the 2 groups with respect to age,history of abdominal delivery,body mass index,and indication of hysterectomy.The operative time was similar between the 2 groups(P>0.05).The uterine weight was greater in the LAV group than that in the TL group(P<0.01).Ten patients were converted from TL to LAV,because of a large uterus and(or) a lower segmental mass on the uterus.Conclusion: TL and LAV are safe,feasible methods by which to perform a hysterectomy.LAV is preferred in patients with a mass involving the lower segment or a relatively large uterus.