腹腔镜辅助下阴式子宫切除术临床效果分析

目的探讨腹腔镜辅助下阴式子宫切除术（LAVH）的临床应用价值。方法对121例需行子宫全切术的患者,按入院先后随机分为两组：A组（LAVH组）61例,B组（TVH组）60例。A组行LAVH,B组行单纯阴式子宫全切术（TVH）。分别对两组的临床疗效（手术时间、术中出血量、术后肛门排气时间、术后住院时间、术后阴道残端感染率）进行观察。结果手术时间：A组[（125±27）min]较B组[（130±22）min]无明显延长（P〉0.05）;术中出血量：A组[（121±70）]ml较B组[（141±73）]ml明显减少（P〈0.05）;肛门排气时间：A组[（26.2±7.3）]h较B组[（49.6±13.4）h]明显缩短（P〈0.05）;住院时间：A组[（5±1）d]明显短于B组[（6±3）]d（P〈0.05）。阴道残端感染率：A组（1.6%）明显少于B组（8.33%）,有统计学意义（P〈0.05）。结论 LAVH明显优于单纯TVH,是一种较为理想的手术方法,值得临床推广应用。

Efficacy analysis of laparoscopic-assisted vaginal hysterectomy

Objective To explore the clinical value of the laparoscopic assisted vaginal hysterectomy(LAVH).Methods According to hospital,121patients required hysterectomy were randomly divided into two groups:B group(treatment group,61cases);the B group(control group,60 cases).The A group were under LAVH,the B group with simple transvaginal hysterectomy(TVH).Respectively,the clinical efficacy of 2 groups(including surgery time,blood loss,anal exhaust time,postoperative hospital stay,postoperative vaginal stump infection rate) were observed.Results The operative time of A group(125±27)min was no markedly extended compared with the B group(130±22)min,(P>0.05);the blood loss of A group(121±70)ml was significantly less than that of the B group(141±73)ml,(P<0.05);the anal exhaust time of A group(24.2±7.1)h markedly shortened compared with the B group(49.6±13.4)h,(P<0.05);the hospital stay of treatment group(5±1)d was less than that of the control group(6±3)d,(P<0.05).the vaginal stump infection rates of treatment group(1/61)was less than that of the control group(5/60),(P<0.05).Conclusion LAVH is significantly better than TVH,which is an ideal surgical method.