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目的分析子宫全切术三种不同术式的临床效果。方法将我院239例子宫全切术的患者,按三种不同术式分为经腹子宫全切术(TAH)126例,经阴道(TVH)62例,腹腔镜辅助阴式(LAVH)51例,对3组术式的手术时间,术中出血量及术后肛门排气时间等进行对比。结果手术时间TAH短于TVH及LAVH,TVH短于LAVH;术中出血量TAH多于TVH及LAVH,TVH及LAVH无明显差异;术后排气时间TAH长于TVH及LAVH,TVH及LAVH无差异;住院时间TAH长于TVH及LAVH,TVH及LAVH无差异。结论三种术式各有利弊,术式选择应根据医生技术水平,医院设备条件,患者病情及患者意愿综合考虑,合理选择。但腹腔镜辅助阴式子宫全切术扩大了阴式手术适应症范围,可提高阴式手术成功率。
Objective To analyze the clinical effects of three different surgical procedures of hysterectomy. Methods A total of 239 cases of hysterectomy in our hospital were divided into three groups: 126 cases of TAH, 62 cases of TVH, 51 cases of LAVH Cases, the operation time of 3 groups, intraoperative blood loss and postoperative anal exhaust time were compared. Results The time of operation was shorter than TVH and LAVH, TVH was shorter than LAVH. There was no significant difference in the amount of TAH between operation and TVH and LAVH. The time of TAH was longer than TVH and LAVH, but there was no difference between TVH and LAVH. TAH length of stay longer than TVH and LAVH, TVH and LAVH no difference. Conclusion There are pros and cons of the three kinds of surgical procedures. The choice of surgical procedure should be based on the doctor’s technical level, hospital equipment, patient’s condition and patient’s intention. However, laparoscopic-assisted vaginal hysterectomy has expanded the scope of indications for vaginal surgery, can improve the success rate of vaginal surgery.