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目的探讨腹腔镜辅助下阴式全子宫切除术(LAVH)的疗效。方法回顾性分析148例行经腹全子宫切除术(TAH)、69例阴式全子宫切除术(VH)、81 LAVH患者的临床资料,比较分析3组患者的手术时间、术中出血量、术后肛门排气时间、住院费用、住院时间及并发症发生情况。结果 LAVH的术中出血量为(122.0±40.2)mL,少于TAH(P<0.05);术后肛门排气时间和住院时间分别为(21.6±3.8)h、(5.5±1.9)d,短于TAH(P<0.05)。LAVH的中转开腹率为0%,低于VH(P<0.05)。结论 LAVH集合了TAH和VH的优点,是一种有效的子宫切除术,值得临床推广应用。
Objective To investigate the effect of laparoscopic assisted vaginal hysterectomy (LAVH). Methods The clinical data of 148 patients undergoing total hysterectomy (TAH), 69 cases of vaginal hysterectomy (VH) and 81 LAVH were retrospectively analyzed. The operative time, blood loss, Postoperative anal exhaust time, hospital costs, hospital stay and complications. Results The blood loss of LAVH was (122.0 ± 40.2) mL less than that of TAH (P <0.05). The time of postoperative anal exhaust and hospital stay were (21.6 ± 3.8) h and (5.5 ± 1.9) d, respectively At TAH (P <0.05). The laparotomy rate of LAVH was 0%, lower than that of VH (P <0.05). Conclusion LAVH combines the advantages of TAH and VH, is an effective hysterectomy, worthy of clinical application.