CAJ | 학술논문

目的比较腹腔镜下全子宫切除术（LTH）和腹腔镜辅助阴式子宫切除术（LAVH）的临床效果。方法选择2010年1月至2013年11月在本院妇产科行腹腔镜下子宫完全切除手术的患者共200例，其中LTH组100例，LAVH组100例，记录并比较两组患者手术时间、术中出血量、术后排气时间、术后住院时间以及并发症的发生率以及种类等情况。结果手术时间LTH组（126．20±8．35）min明显长于LAVH组（108．03±6．58）min；术中出血量LTH组（134．08±8．36）mL明显多于LAVH组（98．50±5．68）mL，差异均有统计学意义（P＜0．05）。而在术后恢复排气时间、术后住院时间以及手术并发症的种类和发生率方面，两组差异无统计学意义（P＞0．05）。结论LAVH较LTH有较高的优越性，值得在临床上进行推广。
목적비교복강경하전자궁절제술（LTH）화복강경보조음식자궁절제술（LAVH）적림상효과。방법선택2010년1월지2013년11월재본원부산과행복강경하자궁완전절제수술적환자공200례，기중LTH조100례，LAVH조100례，기록병비교량조환자수술시간、술중출혈량、술후배기시간、술후주원시간이급병발증적발생솔이급충류등정황。결과수술시간LTH조（126．20±8．35）min명현장우LAVH조（108．03±6．58）min；술중출혈량LTH조（134．08±8．36）mL명현다우LAVH조（98．50±5．68）mL，차이균유통계학의의（P＜0．05）。이재술후회복배기시간、술후주원시간이급수술병발증적충류화발생솔방면，량조차이무통계학의의（P＞0．05）。결론LAVH교LTH유교고적우월성，치득재림상상진행추엄。
Objective] To explore clinical efficacy of two different methods laparoscopic total hysterectomy(TLH) and laparoscopic assisted vaginal hysterectomy (LAVH ) .[Methods]Totally 200 patients undergoing laparoscopic total hysterectomy in obstetrical and gynecological department of our hospital from Jan .2010 to Nov .2013 were selected and divided into TLH group( n=100) and LAVH group( n=100) .Operation time ,intraoperative blood loss ,postoperative anal gas passage time ,postoperative hospital stay ,the incidence and type of complications were recorded and compared between two groups .[Results] The operation time of TLH group was (126 .20 ± 8 .35)min ,which was obviously longer than that of LAVH group[(108 .03 ± 6 .58)min]( P<0 .05) .Blood loss of TLH group was (134 .08 ± 8 .36)mL ,which was obviously larger than that of LAVH group[(98 .50 ± 5 .68)mL] ,and there was significant difference( P <0 .05) . There was no significant difference in postoperative anal gas passage time ,postoperative hospital stay ,the incidence and type of complications between two groups( P>0 .05) .[Conclusion]Compared with TLH ,LAVH has higher superiority and worthy of clinical promotion .