摘要
目的:评价腹腔镜全子宫切除(LTH)和腹腔镜辅助阴式子宫切除(LAVH)两种术式的临床效果。方法:回顾分析两种腹腔镜子宫切除术1006例的手术时间、出血量、并发症及术后恢复情况等。结果:两组手术时间、并发症差异无显著性(P>0.05)。LTH组出血量193.13±38.21ml,LAVH组出血量156.24±23.3 ml,两组相比差异有显著性(P<0.01)。LTH组术后体温37.6±0.5℃,肠道恢复时间35.71±6.92小时,术后住院日4.1±0.4天;LAVH组术后体温37.9±0.8℃,肠道恢复时间39.37±8.53小时,术后住院日4.7±0.6天。两组相比,术后体温、肠道恢复时间、术后住院日差异均有非常显著性(P<0.01)。结论:LTH组优于LAVH组,如果腹腔镜下操作技巧熟练,LTH是一种理想的全子宫切除术式。
Objective：To evaluate the clinical effect of laparoscopically total hysterectomy （LTH） and laparoscopically assisted vaginal hysterectomy （LAVH）. Methods： The operation time, the blood loss, complication, and post-operation recovery were compared between the LTH group （418 cases） and LAVH group （588 cases）.Results：The operation time and the complication was no statistical difference in LTH and LAVH. The blood loss in LTH group （193.13±38.21 ml） was higher than in LAVH group （156.24±23.3 ml） （ P〈0.01 ）.The postoperative temperature, recovery time of intestinal function, and duration of hospitalization in LTH group and in LAVH group was 37.6±0.5℃ vs 37.9±0.8℃,35.71±6.92 h vs 39.37±8.53 h,4.1±0.4 d vs 4.7±0.6 d, respectively. There was significantly difference （ P〈0.01 ）. Conclusions： LTH is better than LAVH according to our result.The LTH was an ideal operative style for hysterectomy.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2006年第9期557-559,共3页
Journal of Practical Obstetrics and Gynecology
关键词
腹腔镜
子宫切除
术式分析
Laparoscope
Hysterectomy
Operative style
