两种腹腔镜辅助阴式子宫切除术与阴式子宫切除术的临床比较
[摘要] 目的:比较两种腹腔镜辅助阴式全子宫切除术(LAVHa和LAVHb)和阴式全子宫切除术(TVH)的特点。方法:回顾性分析2006年2月～2010年1月于本院行全子宫切除术173例患者的临床资料,其中,LAVHa 55例,LAVHb 58例,TVH 60例。结果:各组患者均以子宫肌瘤、子宫腺肌症为主要病因,3组患者手术平均时间比较,差异无统计学意义(P>0.05),但LAVHa组患者的平均出血量显著少于TVH组和LAVHb组(P<0.05)。LAVHa组患者切除子宫的体积显著大于其他两组(P<0.05)。LAVHa组手术泌尿系统损伤并发症发生率为3.64%,稍高于LAVHb和TVH组,均发生于开展腹腔镜手术初期,总体并发症较其他两组少。结论:LAVHa患者切除的子宫体积较大,不影响手术时间,出血少,总体并发症较少。
[关键词] 腹腔镜辅助阴式子宫切除术;阴式子宫切除术;临床比较
[中图分类号] R713.4+2 [文献标识码]A [文章编号]1674-4721(2010)04(c)-036-02
Two kinds of laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy clinical comparison
YAO Zhiqin
(Department of obstetrics and Gynecology,Puyang Oil Field General Hospital, Hebei Province,Puyang 457001, China)
[Abstract] Objective: Comparison of two laparoscopic assisted vaginal hysterectomy(LAVHa and LAVHb) and vaginal hysterectomy(TVH) characteristics. Methods: Retrospective analysis from February 2006 to January 2010 in our hospital during the hysterectomy clinical data of 173 patients included LAVHa 55, LAVHb 58, TVH 60. Results: Patients in each group were uterine fibroids,adenomyosis as the main cause,the patients with an average of three times the difference was not statistically significant(P>0.05),but in LAVHa patients,the average blood loss was significantly less than the TVH group and LAVHb group(P<0.05).LAVHa volume of hysterectomy patients was significantly higher than the other two groups(P<0.05).Surgical complications of urinary tract injury rate was 3.64% in LAVHa group,slightly higher than LAVHb and TVH groups. Carry out laparoscopic surg...
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