腹腔镜辅助阴式全子宫切除术100例分析
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【摘要】目的比较腹腔镜辅助阴式全子宫切除术(laparoscopicassisted vaginalhysterectomy, LAVH)与经腹全子宫切除术(total abdominal hysterectomy,TAH)临床效果，探讨子宫切除术的最佳方式。方法观察组取2008 年5 月至2012 年5 月间行LAVH 100 例，随机抽取同期本科室开腹子宫全切术100 例为对照组，比较两组患者的出血量、平均手术时间、术后住院时间、术后病率、切口疼痛情况及术后恢复情况。结论LAVH组较TAH组术后疼痛轻、术中出血少、术后病率低、肛门排气快、住院时间短、术后恢复快等优点，差异有统计学意义(p﹤0.05)。结论腹腔镜辅助阴式全子宫切除术是子宫切除的最佳术式。
【关键词】腹腔镜辅助阴式子宫切除术；开腹子宫全切术
Abstract：Objective: To compare the clinical effect of laparoscopic assisted vaginal hysterectomy (LAVH) and total abdominal hysterectomy (TAH), and to explore the best way of hysterectomy. Methods: Selected 100 cases of LAVH patents as observation group from May 2008 to May 2012, and also selected 100 cases of TAH patents as control group. Compared the amount of bleeding, average operation time, postoperative hospital stay, postoperative morbidity, incision pain and postoperative recovery. Results: In LAVH group the patients had less postoperative pain, less bleeding, lower postoperative morbidity, faster anal exhaust, short time of hospitalization, faster postoperative recovery, the difference was statistically significant (P < 0 ......
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