改良式腹腔镜辅助阴式全子宫切除术

目的:探讨改良式腹腔镜辅助阴式全子宫切除术(laparoscopic assisted transvaginal hysterectomy,LAVH)的临床疗效。方法:将符合纳入标准行全子宫切除的患者根据就诊顺序随机分为三组,其中LAVH-Ⅰ型30例,LAVH-Ⅲ型28例,改良式LAVH30例,观察并比较三种术式在手术时间、术中出血量、术中术后并发症发生率、肠道功能恢复时间、及术后住院时间的差异。结果:手术时间、术中出血量LAVH-Ⅰ型组分别是(85.50±11.68)min(、86.67±20.36)ml,LAVH-Ⅲ型组(90.53±10.95)min、(76.89±14.72)ml,改良式LAVH组(90.53±10.95)min、(76.89±14.72)ml,三组比较差异均有统计学意义(P<0.05)。肛门恢复排气时间、术后住院时间、术中、术后并发症发生率,三组比较差别均无统计学意义(P>0.05)。结论:改良式LAVH操作简便、安全,手术时间短、术中出血少,是临床上可供选择的一种新型LAVH术式。

Clinical Efficacy of Improved Laparoscopic Assisted Vaginal Hysterectomy

Objective：To investigate the improvement of laparoscopic assisted vaginal hysterectomy（laparoscopic assisted trasvaginal hysterectomy,LAVH） clinical efficacy.Methods：met the inclusion criteria for patients with total hysterectomy were randomly divided into three according to treatment group,which LAVH-Ⅰ type 30 cases,LAVH-Ⅲ type 28 cases,modified LAVH30 cases,observe and compare three surgical operative time,blood loss,intraoperative and postoperative complication rate,bowel function recovery time,and differences in postoperative hospital stay.Results：The operation time,blood loss,LAVH-Ⅰ type group were（85.50±11.68） min,（86.67±20.36） ml,LAVH-Ⅲ type group（90.53±10.95） min,（76.89±14.72） ml,modified Type LAVH group（90.53±10.95） min,（76.89±14.72） ml,three groups were statistically significant differences（P0.05）.Anal discharge recovery time,postoperative hospital stay,postoperative complication rate,three groups no significant difference（P0.05）.Conclusion：modified LAVH is simple,safe,shorter operative time,less blood loss,is clinically available,a new LAVH surgical.