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目的比较经腹子宫全切术(transabdominalhysterotomyTAH)和腹腔镜辅助阴式子宫全切术(laparo-scopicallyassistedvagnalhysterotomyLAVH)的临床效果。方法收集我院2005年4月至2006年4月接受两种不同术式子宫切除术的病例共100例。经腹子宫全切组(TAH组)48例,腹腔镜辅助阴式子宫全切术组(LAVH组)52例,比较两组疾病种类、手术时间、术中出血量、住院时间、医疗费用、术后恢复情况以及并发症的发生率。结果两组比较,除手术时间基本相近,其它各项指标均有统计学意义(P<0.05)。术中出血量,LAVH组明显少于TAH组,术后使用抗生素时间、肛门排气时间、术后住院时间,LAVH组显著短于TAH组,平均治疗费用比较,LAVH组高于TAH组,术后并发症发生率LAVH组显著低于TAH组。结论除子宫体积>16孕周,年龄70岁以上,可疑恶性疾病选择TAH,其它可首选TAVH。
Objective To compare the clinical effects of transabdominal hysterotomy TAH and laparoscopy-assisted vaginal hysterectomy (LAVH). Methods A total of 100 cases of hysterectomy were collected from April 2005 to April 2006 in our hospital. Forty-eight cases of TAH group and 52 cases of laparoscopic vaginal hysterectomy group were divided into two groups: type of disease, operation time, intraoperative blood loss, hospitalization time, medical expenses, Postoperative recovery and the incidence of complications. Results The two groups were compared, except for the operation time were basically the same, the other indicators were statistically significant (P <0.05). The amount of bleeding during operation was significantly lower in LAVH group than in TAH group. The antibiotic time, anal exhaust time and postoperative hospital stay were significantly shorter in LAVH group than in TAH group. The average cost of treatment was higher in LAVH group than in TAH group The incidence of postoperative complications in LAVH group was significantly lower than that in TAH group. Conclusion In addition to the uterine volume> 16 gestational weeks, more than 70 years of age, suspicious malignant disease selected TAH, other preferred TAVH.