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目的:探讨腹腔镜阴式子宫切除术(LAVH)的临床应用价值。方法:2008年8月～2010年5月间行136例子宫全切除术,其中82例行LAVH患者设为观察组,54例行阴式全子宫切除术(VH)设为对照组,回顾分析两组患者的临床资料,比较两种手术方式的术中出血量、手术时间、术后肛门排气时间、术后下床时间、术后住院天数、并发症发生率等指标。结果:观察组术中出血量(89.2±11.5)ml、手术时间(69.9±16.2)min,与对照组差异无统计学意义(P>0.05),而术后肛门排气时间(28.7±8.6)h、术后下床时间(34.1±6.3)h、术后住院天数(5.4±1.2)h、并发症发生率6.1%,均显著低于对照组,差异具有统计学意义(P<0.05)。结论:与VH术相比,LAVH术具有术创伤小、恢复快等优点,是一种理想的子宫次全切除手术方式。
Objective: To investigate the clinical value of laparoscopic vaginal hysterectomy (LAVH). Methods: From August 2008 to May 2010, 136 cases of hysterectomy were performed. Among them, 82 cases of LAVH were treated as observation group and 54 cases of vaginal hysterectomy (VH) as control group. The retrospective analysis The clinical data of two groups of patients were compared between the two methods of operation blood loss, operative time, postoperative anal exhaust time, time to bed, postoperative hospital stay, complications and other indicators. Results: The blood loss in the observation group was 89.2 ± 11.5 ml and the operation time was 69.9 ± 16.2 min, which was not significantly different from the control group (P> 0.05) (34.1 ± 6.3) h, postoperative hospital stay (5.4 ± 1.2) h and complication rate were 6.1%, which were significantly lower than those in the control group (P <0.05). Conclusion: Compared with VH, LAVH has the advantages of less trauma and faster recovery, which is an ideal subtotal hysterectomy.