腹腔镜下行不同子宫切除术的临床效果对比研究

目的比较腹腔镜下全子宫切除术（LTH）和腹腔镜辅助阴式子宫切除术（LAVH）的临床效果。方法选择2010年1月至2013年11月在本院妇产科行腹腔镜下子宫完全切除手术的患者共200例，其中LTH组100例，LAVH组100例，记录并比较两组患者手术时间、术中出血量、术后排气时间、术后住院时间以及并发症的发生率以及种类等情况。结果手术时间LTH组（126．20±8．35）min明显长于LAVH组（108．03±6．58）min；术中出血量LTH组（134．08±8．36）mL明显多于LAVH组（98．50±5．68）mL，差异均有统计学意义（P＜0．05）。而在术后恢复排气时间、术后住院时间以及手术并发症的种类和发生率方面，两组差异无统计学意义（P＞0．05）。结论LAVH较LTH有较高的优越性，值得在临床上进行推广。

Comparison of Clinical Efficacy of Different Types of Laparoscopic Hysterectomy

Objective] To explore clinical efficacy of two different methods laparoscopic total hysterectomy（TLH） and laparoscopic assisted vaginal hysterectomy （LAVH ） .[Methods]Totally 200 patients undergoing laparoscopic total hysterectomy in obstetrical and gynecological department of our hospital from Jan .2010 to Nov .2013 were selected and divided into TLH group（ n=100） and LAVH group（ n=100） .Operation time ,intraoperative blood loss ,postoperative anal gas passage time ,postoperative hospital stay ,the incidence and type of complications were recorded and compared between two groups .[Results] The operation time of TLH group was （126 .20 ± 8 .35）min ,which was obviously longer than that of LAVH group[（108 .03 ± 6 .58）min]（ P〈 0 .05） .Blood loss of TLH group was （134 .08 ± 8 .36）mL ,which was obviously larger than that of LAVH group[（98 .50 ± 5 .68）Ml] ,and there was significant difference（ P 〈 0 .05） . There was no significant difference in postoperative anal gas passage time ,postoperative hospital stay ,the incidence and type of complications between two groups（ P 〉0 .05） .[Conclusion]Compared with TLH ,LAVH has higher superiority and worthy of clinical promotion .