论文部分内容阅读
目的探讨腹腔镜辅助阴式子宫切除术的临床特点。方法选择2008年10月至2010年6月期间,我院收治的无生育要求,有全切指征的患者98例作为LAVH组,另选择同期行传统经腹子宫切除术患者105例作为TAH组。比较两组患者的手术时间、下床自如活动时间、出血量、术后发热率、术后止痛药使用情况、肛门排气时间以及住院时间等术中、手术临床相关指标。结果 TAH组和LAVH组患者的出血量比较无明显统计学意义,但手术时间LAVH组明显长于TAH组,差异有统计学意义(P<0.05)。但与TAH组相比,LAVH组患者下场自如活动时间、肛门排气时间、住院时间均明显缩短,且术后发热率和止痛药使用率明显降低,差异具有统计学意义(P<0.05)。结论 LAVH具有疗效肯定、创伤小、痛苦少、恢复快等优点,为一种更安全、更容易掌握的手术方式。
Objective To investigate the clinical features of laparoscopic assisted vaginal hysterectomy. Methods From October 2008 to June 2010, 98 cases of complete absence of fertility in our hospital were enrolled as LAVH group. Another 105 cases of traditional abdominal hysterectomy during the same period were selected as TAH group . The clinical indexes of operation were compared between the two groups in terms of operation time, free time to go to bed, amount of bleeding, postoperative fever rate, analgesic use after operation, anal exhaust time and hospitalization time. Results The amount of bleeding in TAH group and LAVH group was not statistically significant, but the LAVH group was significantly longer than TAH group at the time of operation, the difference was statistically significant (P <0.05). However, compared with TAH group, LAVH group had significantly shorter free movement time, anal exhaust time and hospitalization time, and the postoperative fever rate and painkiller utilization rate were significantly lower (P <0.05). Conclusions LAVH has the advantages of definite curative effect, less trauma, less pain and faster recovery, which is a safer and easier to operate surgical method.