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目的:观察腹腔镜辅助阴式子宫切除(LAVH)、开腹全子宫切除(TAH)和阴式全子宫切除(TVH)的临床效果。方法:对3种不同子宫切除术式的手术时间、术中出血量、肛门排气时间、术后下床活动时间、出院时间、住院费用等进行比较分析。结果:TAH组手术时间显著少于LAVH组与TVH组,P<0.05;TAH组平均术中出血量明显少于TVH组与LAVH组,P<0.05;TVH组与LAVH组的术后排气时间无统计学差异,均显著短于TAH组;LAVH组下床活动时间及术后出院时间最短,其次是LVH组,TAH组最长,3组之间差异显著,P<0.05;LAVH组的住院费用显著高于LVH组与TVH组,P<0.05。结论:LAVH具有损伤性小、术后恢复快、并发症少等优点,值得在有条件的医院广泛开展。
Objective: To observe the clinical effect of laparoscopic assisted vaginal hysterectomy (LAVH), open hysterectomy (TAH) and vaginal hysterectomy (TVH). Methods: Three kinds of hysterectomy operation time, blood loss, anal exhaust time, postoperative ambulation time, discharge time, hospitalization costs were compared. Results: The operation time in TAH group was significantly less than that in LAVH group and TVH group (P <0.05). The average blood loss in TAH group was significantly less than that in TVH group and LAVH group (P <0.05) LAVH group had the shortest mobilization time and postoperative discharge time, followed by LVH group and TAH group, the longest in TAH group, with significant difference between the three groups (P <0.05). The hospitalization of LAVH group The cost was significantly higher than LVH group and TVH group, P <0.05. Conclusion: LAVH has the advantages of less damage, quick recovery after operation, fewer complications and is worthy of extensive implementation in qualified hospitals.