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目的:评价腹腔镜辅助阴式子宫切除术(LAVH)的临床价值。方法:对35例子宫良性病变者行LAVH手术的临床治疗进行分析,并与腹腔镜Doderlein式子宫切除术(LDH)32例进行比较。结果:两组手术在手术时间,术后镇痛,肛门排气时间,住院时间等方面差异无统计学意义,但术中出血量比较:LAVH组(96.2±58.56)mL,LDH组(186.2±62.5)mL,差异有统计学意义(P<0.05)。结论:LAVH手术镜处理子宫动脉,能有效控制术中出血量,值得临床推广应用。
Objective: To evaluate the clinical value of laparoscopic assisted vaginal hysterectomy (LAVH). Methods: The clinical data of 35 cases with benign uterine lesions undergoing LAVH were analyzed and compared with 32 cases of laparoscopic Doderlein hysterectomy (LDH). Results: There was no significant difference in operation time, postoperative analgesia, anal exhaust time and hospital stay among the two groups, but the intraoperative blood loss was significantly lower in LAVH group (96.2 ± 58.56) mL and in LDH group (186.2 ± 62.5) mL, the difference was statistically significant (P <0.05). Conclusion: LAVH surgical treatment of uterine artery, can effectively control the amount of bleeding, it is worthy of clinical application.