腹腔镜辅助阴式与经腹子宫切除术的比较分析
Comparative analysis of laparoscopic assisted vaginal and abdominal hysterectomy
宋丽华 1张广民1
作者信息
- 1. 内蒙古赤峰市第二医院妇产科 024000
- 折叠
摘要
目的：：总结分析腹腔镜辅助阴式与经腹子宫切除手术的临床疗效。方法：选择2012年6月～2013年11月期间我院收治的88例子宫肌瘤患者为研究对象，均行子宫切除手术，其中LAVH(腹腔镜辅助阴式子宫切除手术)组46例，TAH(经腹子宫切除手术)组42例，比较分析两组患者手术时间、术中出血量、术后发热、阴道残端感染率、血栓静脉炎发生率、胃功能紊乱发生率等观察指标的差异。结果：LAVH组平均手术时间(122.5±21.7)min明显高于TAH组(95.2±12.8) min，差异具有统计学意义(P＜0.01)；但LAVH组术中出血量(145.2±13.6)ml明显少于TAH组(153.6±15.8)ml，差异具有统计学意义(P＜0.05)；TAH组术后血栓静脉炎发生率11.90%、胃肠功能紊乱发生率30.95%明显高于LAVH组，差异具有统计学意义(P＜0.05)。结论：腹腔镜辅助阴式子宫切除手术是一种安全有效的术式，具有微创的优势，应用前景广阔。
Abstract
Objective: To investigate clinical effect of laparoscopic assisted vaginal and abdominal hysterectomy. Methods: 88 patients with uterine fibroids in our hospital from June 2012 to November 2013 were selected as the study and underwent hysterectomy. 46 cases of LAVH ( laparoscopicaly assisted vaginal hysterectomy ) , 42 cases of TAH ( abdominal hysterectomy ) . The operative time , blood loss, postoperative fever , vaginal stump infection and thrombophlebitis incidence rate of gastric disorders of two groups were compared. Results:After treatment,the mean operative time of LAVH group (122.5±21.7) min was significantly higher than that of TAH group (95.2±12.8) min, (P <0.01); But blood loss of LAVH group (145.2±13.6) ml was significantly less than that of TAH group (153.6±15.8) ml, (P <0.05); the incidence of postoperative thrombophlebitis TAH group (11.90% ), the incidence of gastrointestinal disorders LAVH group( 30.95%)was significantly higher than that of TAH group, (P <0.05). Conclusion:Laparoscopicaly assisted vaginal hysterectomy is a safe and effective procedure, and has the advantages of minimaly invasive application prospects.
关键词
子宫切除手术/腹腔镜辅助阴式切除/子宫肌瘤/临床疗效Key words
hysterectomy/Laparoscopicaly assisted vaginal hysterectomy/uterine fibroids/clinical effect引用本文复制引用
出版年
2014
NETL
NSTL
万方数据