中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
7期
47-49
,共3页
腹腔镜辅助阴式子宫切除术%大子宫%子宫切除
腹腔鏡輔助陰式子宮切除術%大子宮%子宮切除
복강경보조음식자궁절제술%대자궁%자궁절제
Laparoscopic-assisted vaginal hysterectomy%Big uterus%Hysterectomy
目的 比较大子宫阴式切除术(TVH)与改良腹腔镜辅助下大子宫(子宫如孕12～20周)阴式切除术(LAVH)的临床效果.方法 收集该院2006年1月至2009年6月接受不同途径大子宫切除术患者(170例)的临床资料,其中阴式大子宫全切除术78例(阴式组),改良腹腔镜辅助大子宫阴式全切除术92例(腹腔镜组),比较两组的手术时间、术中出血量、术后恢复情况.结果 与TVH组相比,LAVH组中转开腹率低(0/92 vs 6/78,χ2=5.25,P＜0.05),手术时间短[(138±12.2)min vs(172±14.6)min,t=16.54,P＜0.01],术后住院时间短[(5.6±1.3)d vs(7.8±3.5)d,t=5.60,P＜0.01].两组术中出血量、术后病率、术后排气时间差异无显著性(P＞0.05).结论 LAVH扩大TVH的适应证,使大于孕12周子宫切除能在微创手术下顺利完成,是值得推广的手术方法.
目的 比較大子宮陰式切除術(TVH)與改良腹腔鏡輔助下大子宮(子宮如孕12～20週)陰式切除術(LAVH)的臨床效果.方法 收集該院2006年1月至2009年6月接受不同途徑大子宮切除術患者(170例)的臨床資料,其中陰式大子宮全切除術78例(陰式組),改良腹腔鏡輔助大子宮陰式全切除術92例(腹腔鏡組),比較兩組的手術時間、術中齣血量、術後恢複情況.結果 與TVH組相比,LAVH組中轉開腹率低(0/92 vs 6/78,χ2=5.25,P＜0.05),手術時間短[(138±12.2)min vs(172±14.6)min,t=16.54,P＜0.01],術後住院時間短[(5.6±1.3)d vs(7.8±3.5)d,t=5.60,P＜0.01].兩組術中齣血量、術後病率、術後排氣時間差異無顯著性(P＞0.05).結論 LAVH擴大TVH的適應證,使大于孕12週子宮切除能在微創手術下順利完成,是值得推廣的手術方法.
목적 비교대자궁음식절제술(TVH)여개량복강경보조하대자궁(자궁여잉12～20주)음식절제술(LAVH)적림상효과.방법 수집해원2006년1월지2009년6월접수불동도경대자궁절제술환자(170례)적림상자료,기중음식대자궁전절제술78례(음식조),개량복강경보조대자궁음식전절제술92례(복강경조),비교량조적수술시간、술중출혈량、술후회복정황.결과 여TVH조상비,LAVH조중전개복솔저(0/92 vs 6/78,χ2=5.25,P＜0.05),수술시간단[(138±12.2)min vs(172±14.6)min,t=16.54,P＜0.01],술후주원시간단[(5.6±1.3)d vs(7.8±3.5)d,t=5.60,P＜0.01].량조술중출혈량、술후병솔、술후배기시간차이무현저성(P＞0.05).결론 LAVH확대TVH적괄응증,사대우잉12주자궁절제능재미창수술하순리완성,시치득추엄적수술방법.
Objective To compare clinical result of through vaginal hysterectomy (TVH)and modified laparoscope assisted vaginal hysterectomy(LAVH) for big uterus.Methods 170 cases of big uterus hysterectomy through vaginal or assisted vaginal hysterectomy from Jan 2006 to July 2009 were collected in our hospital.There were78 through vaginal hysterectomies( TVH groups)and 92 reforming laparoscope assisted vaginal hysterectomies( LAVH groups).operation time,bleeding volume and postoperative recovery of the patients were studied and compared between two groups.Results Compared with TVH group.there was a lower chance of abdominal hysterectomy ( 0/92 vs 6/78,χ2 = 5.25,P ＜ 0.05 ),a shorter operation time [( 138 ± 12.2 ) min vs ( 172 ± 14.6 )min,t = 16.54,P ＜ 0.01]and a shorter postoperative hospital stay[(5.6 ± 1.3 ) d vs(7.8 ± 3.5 ) d,t = 5.60,P ＜0.01]in the LAVH group.There were no significant differences in blood loss,morbidity and time to first flatus between the two groups.Conclusion The LAVH extends the indications of TVH,ensuring the safety of TVH for the uterus is bigger than that of 12 gestational weeks,therefore it is an operative procedure to be recommended.
