改良式腹腔镜辅助阴式子宫切除术治疗子宫腺肌病32例

目的：探讨改良式腹腔镜辅助下阴式子宫切除术（LAVH）治疗子宫腺肌病的临床效果。方法：保守治疗无效的子宫腺肌病53例,其中采用改良式LAVH32例,经阴道子宫切除术（TVH）21例。结果：改良式LAVH组附加了附件手术和内膜异位病灶烧灼术,住院费用和术后肛门排气时间与TVH组差异均有统计学意义（P〈0.01）,手术时间、术中出血和住院时间差异均无统计学意义（P〉0.05）。结论：改良式LAVH是子宫腺肌病患者行子宫切除术的较佳术式。

The treatment of adenomyosis with modified laparoscopic assisted vaginal hysterectomy in 23 cases

Objective：To investigate the clinical effects of modified laparoscopic assisted vaginal hysterectomy（LAVH） in the treatment of adenomyosis. Methods：Fifty-three patients with adenomyosis after invalid conservative treatment were selected. Twenty-two patients were treated with modified LAVH,21 cases were treated with vaginal hysterectomy（ TVH）. Results：The attachment operation and endometriosis lesions burning operation were implemented in the patients treated with modified LAVH. The differences of hospitalization expenses and postoperative anal exhaust time between the patients treated with modified LAVH and TVH were statistically significant（ P〈0. 01）. The differences of operation time,intraoperative bleeding and hospitalization time between the patients treated with modified LAVH and TVH were not statistically significant（ P〈0. 05）. Conclusions：The modified LAVH is a better means in hysterectomy of patients with adenomyosis.