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为了比较腹腔镜辅助阴式子宫切除(LAVH)、开腹全子宫切除(TAH)和经阴道全子宫切除(TVH)的临床效果,探讨子宫切除的理想途径,观察行LAVH(22例)、TAH(78例)和TVH(59例)患者的临床资料,对手术时间、术中出血量、切除子宫大小,肛门排气时间、疼痛程度和住院时间等进行比较分析。TAH组手术时间(78.3±22.3)min明显短于与TVH组的(90.2±27.6)min和LAVH组的(120.2±31.2)min,P<0.05;TAH组平均术中出血量为(60.2±40.6)mL,明显少于TVH组的(80.2±52.6)mL和LAVH组的(92.3±49.8)mL,P<0.05;术后排气时间TVH组和LAVH组差别不明显,皆明显早于TAH组。初步研究结果提示,LAVH及TVH是子宫切除手术患者比较理想的手术方式,LAVH具有创伤小、恢复快、住院时间短和术中术后并发症少等优点,但应视据患者具体情况作出最佳选择,值得在有条件的医院广泛开展。
In order to compare the clinical effects of laparoscopic assisted vaginal hysterectomy (LAVH), open hysterectomy (TAH) and vaginal hysterectomy (TVH), the ideal way of hysterectomy was observed. The changes of LAVH (22 cases), TAH (78 cases) and TVH (59 cases). The operative time, intraoperative blood loss, uterine size, anal exhaust time, pain degree and hospital stay were compared and analyzed. The operative time (78.3 ± 22.3) min in TAH group was significantly shorter than that in TVH group (120.2 ± 31.2) min and (120.2 ± 31.2) min in LAVH group, P <0.05. The mean intraoperative blood loss in TAH group was (60.2 ± 40.6) ) was significantly lower than TVH group (80.2 ± 52.6) mL and LAVH group (92.3 ± 49.8) mL, P <0.05; exhaust time TVH group and LAVH group was not significantly different, were significantly earlier than the TAH group . Preliminary findings suggest that LAVH and TVH are the ideal surgical procedures for patients undergoing hysterectomy. LAVH has the advantages of small trauma, rapid recovery, short hospital stay and less postoperative complications, but should be based on the specific circumstances of patients Good choice, it is worth carrying out a wide range of conditions in the hospital.