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目的探讨改良腹腔镜辅助阴式子宫切除术行大子宫切除(1aparoseope assisted vaginalhysterectomy,LAVH)的临床效果。方法收集2007年9月至2012年3月在我院行子宫切除术的子宫腺肌病或子宫肌瘤(子宫均≥12孕周)患者254例的临床资料,其中传统腹腔镜辅助阴式子宫切除术(LAVH)127例(对照组),改良LAVH 127例(研究组),比较两组术中术后情况及术后疼痛、并发症。结果两组手术均顺利完成,均无严重并发症发生。研究组与对照组比较,术中出血量明显减少(P<0.05),肛门排气时间短(P<0.05)。研究组术后无痛率明显高于、剧烈疼痛率明显低于对照组(P<0.01)。结论改良LAVH作为一种大子宫切除术式,有效、微创、安全、术后恢复快。
Objective To investigate the clinical effect of modified laparoscopic assisted vaginal hysterectomy (LAPH) on large-hysterectomy (LAVH). Methods The clinical data of 254 patients with adenomyosis or uterine myoma (uterus ≥ 12 gestational weeks) who underwent hysterectomy in our hospital from September 2007 to March 2012 were collected. Among them, 254 cases were conventional laparoscopic assisted vaginal uterus 127 cases of LAVH (control group) and 127 cases of modified LAVH (study group). Postoperative complications, postoperative pain and complications were compared between the two groups. Results The two groups of operations were successfully completed, no serious complications occurred. The study group and control group, intraoperative bleeding decreased significantly (P <0.05), anal exhaust time was shorter (P <0.05). The painless rate of the study group was significantly higher than that of the severe pain rate (P <0.01). Conclusion Modified LAVH as a large hysterectomy, effective, minimally invasive, safe, fast recovery.