目的 通过腹腔镜辅助经阴道子宫切除术(laparoscopically assisted vaginal hysterectomy,LAVH)与经腹全子宫切除术(trans-abdominal hysterectomy,TAH)的临床效果比较,分析LAVH的临床价值。方法 将宜兴市中医医院2010年10月至2011年8月行LAVH患者36例作为研究组,抽取同期行TAH患者36例作为对照组,将两组患者临床资料进行回顾性分析。结果 LAVH组患者术后肛门排气时间及术后住院时间均较TAH组短,术后疼痛程度及术后病率也较TAH组轻,两组比较差异有统计学意义(P<0.05);手术时间、术中出血量两组比较差异无统计学意义(P>0.05)。结论 LAVH具备腹腔镜手术及阴道手术两者之优点,具有损伤小、恢复快、切口小、疼痛轻等优点,值得临床推广应用。 Objective To analyze the clinical value of LAVH by comparing the clinical efficacy of laparoscopically assisted vaginal hysterectomy (LAVH) with trans-abdominal hysterectomy (TAH). Methods Totally 36 cases of LAVH patients from October 2010 to August 2011 in Yixing Hospital of Traditional Chinese Medicine were selected as the study group. Twenty-six patients with TAH in the same period were selected as the control group, and the clinical data of the two groups were retrospectively analyzed. Results The postoperative anal exhaust time and postoperative hospital stay in patients with LAVH were shorter than those in patients with TAH, and the postoperative pain and postoperative morbidity were also lighter than those in TAH group. There was significant difference between the two groups (P <0.05). There was no significant difference in operative time and intraoperative blood loss between the two groups (P> 0.05). Conclusions LAVH possesses the advantages of both laparoscopic surgery and vaginal surgery. It has the advantages of less damage, faster recovery, less incision and less pain. It is worthy of clinical application.