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目的:对比分析阴式子宫切除术(TVH)与腹腔镜辅助阴式子宫切除术(LAVH)临床疗效。方法:随机选取住院治疗的良性子宫疾病患者80例,并将其随机均分为LAVH组45例和TVH组35例,对比两组中转开腹例数、手术时间、出血量、手术后肛门排气时间等临床指标。结果:LAVH组患者的中转开腹例数、平均手术时间、出血量比TVH组少,差异有统计学意义(P<0.05),两组患者术后排气时间差异无统计学意义(P>0.05)。结论:腹腔镜辅助阴式子宫切除术扩宽了阴式手术的适应证,降低了阴式手术的风险。
Objective: To compare the clinical efficacy of vaginal hysterectomy (TVH) and laparoscopic assisted vaginal hysterectomy (LAVH). Methods: Eighty patients with benign uterine disease were randomly selected and randomly divided into LAVH group (n = 45) and TVH group (n = 35). The number of patients undergoing laparotomy, the time of operation, the amount of bleeding, Gas time and other clinical indicators. Results: The number of laparotomy, the average operation time and the amount of bleeding in LAVH group were less than those in TVH group (P <0.05). There was no significant difference in postoperative exhaust time between the two groups (P> 0.05). CONCLUSIONS: Laparoscopic assisted vaginal hysterectomy expands the indications for vaginal surgery and reduces the risk of vaginal surgery.