3种不同术式子宫切除的临床疗效比较

目的:观察腹腔镜辅助阴式子宫切除(LAVH)、开腹全子宫切除(TAH)和阴式全子宫切除(TVH)的临床效果。方法:对3种不同子宫切除术式的手术时间、术中出血量、肛门排气时间、术后下床活动时间、出院时间、住院费用等进行比较分析。结果:TAH组手术时间显著少于LAVH组与TVH组,P<0.05;TAH组平均术中出血量明显少于TVH组与LAVH组,P<0.05;TVH组与LAVH组的术后排气时间无统计学差异,均显著短于TAH组;LAVH组下床活动时间及术后出院时间最短,其次是LVH组,TAH组最长,3组之间差异显著,P<0.05;LAVH组的住院费用显著高于LVH组与TVH组,P<0.05。结论:LAVH具有损伤性小、术后恢复快、并发症少等优点,值得在有条件的医院广泛开展。

The clinical curative effect of three different operative methods for hysterectomywu

Objective:To observe the clinical effect of laparoscopic allyassisted vaginal hysterectomy(LAVH),transabdominal hysterectomy(TAH) and transvaginal hysterectomy(TVH). Methods:Operative time,intraoperative bleeding,anus exhaust time,postoperative ambulation time,discharge time,hospitalization expenses were comparatively analyzed among the three different operation way. Results: The operation time in TAH group was significantly shorter than TVH group and LAVH group,P<0.05;The average intraoperative bleeding of TAH group was obviously less than TVH group and LAVH group,P<0.05;The postoperative exhaust time were not significant difference between TVH group and LAVH group,but were significant earlier than TAH group;postoperative ambulation time and discharge time were the first in LAVH group,followed by LVH group,TAH groups was the longest,there were statistically significant differences amond the three groups;Hospital expenses of LAVH group was higher than LVH group and TAH group,the difference was statistically significant. Conclusion: LAVH has the advantages of traumatic small,postoperative reactions and less complications,it is worth using in conditional hospitals extensively.