CAJ | 학술논문

　　目的观察腹腔镜辅助阴式全子宫切除术（LAVH）治疗巨大子宫肌瘤的临床疗效。方法将我院2011年6月至2012年6月收治的巨大子宫肌瘤患者共68例，随机分为对照组与观察组，分别采取开腹子宫切除术（TAH）与腹腔镜辅助阴式全子宫切除术（LAVH）治疗，比较两组患者手术情况及术后并发症发生情况。结果两组手术时间比较无统计学意义（P＞0.05）；观察组术中出血量、肛门排气和住院时间及术后并发症发生率与对照组比较具有显著性差异（P＜0.05）。结论腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤疗效较好，手术创伤小，术后恢复快，且并发症少，值得临床推广和应用。
　　목적관찰복강경보조음식전자궁절제술（LAVH）치료거대자궁기류적림상료효。방법장아원2011년6월지2012년6월수치적거대자궁기류환자공68례，수궤분위대조조여관찰조，분별채취개복자궁절제술（TAH）여복강경보조음식전자궁절제술（LAVH）치료，비교량조환자수술정황급술후병발증발생정황。결과량조수술시간비교무통계학의의（P＞0.05）；관찰조술중출혈량、항문배기화주원시간급술후병발증발생솔여대조조비교구유현저성차이（P＜0.05）。결론복강경보조음식전자궁절제술치료거대자궁기류료효교호，수술창상소，술후회복쾌，차병발증소，치득림상추엄화응용。
Objective To observe clinical efficacy of laparoscopic-assisted vaginal hysterectomy (LAVH) treating tremendous uterine fibroids. Method Huge uterine ifbroids patients admitted in our hospital in June 2011-2012 June 68 patients were randomly divided into the control group and the observation group, which was taken to the abdominal hysterectomy (TAH) and laparoscopically assisted vaginal hysterectomy (LAVH) treatment, and two groups of patients surgery and postoperative complications were compared. Results Two surgical time is not statistically signiifcant (P>0.05);intraoperative blood loss, the anus exhaust, length of hospital stay and postoperative complication rate in observation group compared with the control group, there was signiifcant difference (P<0.05). Conclusion The efifcacy of huge uterine ifbroids laparoscopically assisted vaginal hysterectomy treatment is better, surgical trauma, faster recovery, fewer complications, and worthy of promotion and application.