三种子宫全切除术的比较分析

目的：比较不同途径子宫切除术的临床效果。方法：将60 例子宫切除术患者按不同途径 分为：腹式子宫切除术（TAH）组20 例，阴式子宫切除术（TVH)组20 例，腹腔镜辅助阴式子宫切除术 （LAVH）组20 例。比较3 组的手术时间、出血量、肛门排气时间和住院费用等情况。结果：TVH 组手术时间 最短；TAH组出血最多，术后肛门排气时间最长；LAVH 组平均住院费用最高。结论：3 种不同途径子宫切 除术各有优势，不能相互替代，应根据患者病变特点、经济能力和意愿、手术医师技术水平、医院设备综合 考虑。

The Comparative Analysis of the Three Metrectomies

Objective: Compare the clinical effects of different metrectomies. Methods: According to the different metrectomies, sixty patients are averagely divided into three groups: 20 cases for the total abdominal hysterectomies（TAH）, 20 for the total vaginal hysterectomy（TVH）and 20 for the vaginal hysterectomy in the assistance of laparoscope （LAVH）. Then analyze the operation time, the amount of bleeding, the time of exsufflation through anus after operation and the cost of hospitalization. Results: The operation time of TVH is the shortest .The amount of bleeding of TAH is the most. The time of anal exsufflation after operation of TAH is the longest . And The average cost for hospitalization of LAVH is more expensive than the other two groups. Conclusions: Each metrectomy has respective advantage and they are irreplaceable each other. We should make a choice according to the pa