摘要
目的:探讨腹式子宫全切术(TAH)、阴式子宫全切术(TVH)和腹腔镜辅助下阴式子宫全切术(LAVH)三者的临床效果。方法:回顾分析92例子宫全切患者的临床资料,其中TAH32例,TVH30例,LAVH30例。比较其手术时间、术中出血量、术后疼痛、排气时间和术后住院时间,平均住院费用。结果:LAVH组的手术时间及出血量明显多于其他两组(P<0.05);术后疼痛、排气时间和术后住院时间TAH组明显长于其他两组(P<0.05),TVH、LAVH两组比较差异无统计学意义(P>0.05);LAVH组费用明显高于其他两组(P<0.05),TVH、LAVH两组比较差异无统计学意义(P>0.05)。结论:LAVH与TVH均具有微创、术后疼痛轻、并发症少、恢复快、住院时间短等优点。尤其阴式子宫全切术(TVH)利用女性阴道这一天然的生理特点进行手术,创伤更小、盆腹腔干扰小、恢复快,费用低更符合微创的观念。
Objective：To discuss the clinical effection of the TAH,TVH and LAVH. Method：To review and analyzes the clinical data of 92 examples of total hysterectomy,Among them,TAH 32 examples,TVH 30 examples ,LAVH 30 examples,and compare its surgical operation time ,bleed quantity in the operation,post operation ache circumstance, aerofluxus time and post operation stay in the hospital time,average hospitalization expenses. Result：Surgical operation time and bleed quantity of the LAVH sat were obviously much than anyother 2 sets （P〈0.05） ;The post operation ache ,aerofluxus time, post operation stay in the hospital time of TAH sat were obviously longer than other two set（P〈 0.05） ,comparison differens between TVH set ang LAVH set didn＇t have statistical meaning（the P〉0.05） ;The expenses of the LAVH set was obviously high than other two set（the P〈0. 05） ,comparison differences between TVH sets and LAVH sets didn＇t have statistical meaning. Conclusion：Both of the TVH and LAVH have mierowounded,post operation acheless,the complications is little, the recovery is quick, staying in the hospital time is short . Especially the （TVH） make full use of the natural physiology characteristics of female vagina to carry on surgical operation, the wound is smaller,pelvic cavity interference is small,the recovery is quick,match more the conception of microwound.
出处
《医药世界》
2009年第5期105-106,共2页
Medicine World
