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目的比较腹腔镜辅助阴式全子宫切除(LAVH)与经腹全子宫切除(TAH)的临床效果。方法柳州医学高等专科学校第一附属医院2005-12-2009-12 518例患妇科良性疾病行全子宫切除,TAH组460例和LAVH组58例,回顾分析两组的临床效果。结果 LAVH组肛门排气时间、术后下床活动及住院时间和伤口疼痛均小于TAH组,2组比较差异有统计学意义(P<0.05),TAH组在手术时间、出血量优于LAVH组,2组比较差异有统计学意义(P<0.05),血红蛋白下降值比LAVH组少,两组比较差异无统计学意义。结论 LAVH是临床值得推广的一种手术方式。
Objective To compare the clinical effects of laparoscopic assisted vaginal hysterectomy (LAVH) and transabdominal total hysterectomy (TAH). Methods The total hysterectomy of 518 cases with benign gynecologic diseases were performed in 460 cases of TAH group and 58 cases of LAVH group. The clinical effects of two groups were retrospectively analyzed. Results The time of anus exhaust, postoperative ambulation, hospital stay and wound pain in LAVH group were all less than those in TAH group. There was significant difference between the two groups (P <0.05). The volume of bleeding in TAH group was better than LAVH group , The difference between the two groups was statistically significant (P <0.05), hemoglobin decreased less than the LAVH group, the difference between the two groups was not statistically significant. Conclusion LAVH is a surgical method worthy of promotion.