中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
6期
1096-1097
,共2页
子宫肌瘤%腹腔镜全子宫切除术%腹腔镜辅助阴式全子宫切除术%疗效
子宮肌瘤%腹腔鏡全子宮切除術%腹腔鏡輔助陰式全子宮切除術%療效
자궁기류%복강경전자궁절제술%복강경보조음식전자궁절제술%료효
uterine fibroids%laparoscopic total hysterectomy ( LTH)%laparoscopic-assisted vaginal hysterectomy ( LAVH)%curative efficacy
目的：探讨腹腔镜全子宫切除术（ TLH）与腹腔镜辅助阴式全子宫切除术（ LAVH）对子宫肌瘤的疗效。方法将92例子宫肌瘤患者随机分为LAVH组和TLH组，比较两组疗效。结果 LAVH组手术时间和术中出血量均显著低于TLH组（ t值分别为11．312、10．990，均P＜0．05），而两组肛门排气时间及住院治疗时间比较无显著性差异（t值分别为9．001、8．897，均P＞0．05）。术后3个月随访，两组患者阴道残端均愈合较好，盆腔检测结果未见异常，未见并发症的发生。结论腹腔镜辅助阴式全子宫切除术对子宫肌瘤的治疗能够有效缩短患者手术治疗时间，减少患者术中出血量，值得临床应用与推广。
目的：探討腹腔鏡全子宮切除術（ TLH）與腹腔鏡輔助陰式全子宮切除術（ LAVH）對子宮肌瘤的療效。方法將92例子宮肌瘤患者隨機分為LAVH組和TLH組，比較兩組療效。結果 LAVH組手術時間和術中齣血量均顯著低于TLH組（ t值分彆為11．312、10．990，均P＜0．05），而兩組肛門排氣時間及住院治療時間比較無顯著性差異（t值分彆為9．001、8．897，均P＞0．05）。術後3箇月隨訪，兩組患者陰道殘耑均愈閤較好，盆腔檢測結果未見異常，未見併髮癥的髮生。結論腹腔鏡輔助陰式全子宮切除術對子宮肌瘤的治療能夠有效縮短患者手術治療時間，減少患者術中齣血量，值得臨床應用與推廣。
목적：탐토복강경전자궁절제술（ TLH）여복강경보조음식전자궁절제술（ LAVH）대자궁기류적료효。방법장92례자궁기류환자수궤분위LAVH조화TLH조，비교량조료효。결과 LAVH조수술시간화술중출혈량균현저저우TLH조（ t치분별위11．312、10．990，균P＜0．05），이량조항문배기시간급주원치료시간비교무현저성차이（t치분별위9．001、8．897，균P＞0．05）。술후3개월수방，량조환자음도잔단균유합교호，분강검측결과미견이상，미견병발증적발생。결론복강경보조음식전자궁절제술대자궁기류적치료능구유효축단환자수술치료시간，감소환자술중출혈량，치득림상응용여추엄。
Objective To evaluate the efficacy of laparoscopic total hysterectomy (LTH) and laparoscopic-assisted vaginal hysterectomy ( LAVH) for patients with uterine fibroids .Methods Ninety-two patients with uterine fibroids were randomly divided into LTH group and LAVH group, and the efficacy of two groups was compared .Results The operation length and blood loss were significantly less in LAVH group than in LTH group (t value was 11.312 and 10.990, respectively, both P<0.05), but there was no significant difference in flatus and hospitalization length between two groups (t value was 9.001 and 8.897, respectively, both P<0.05).Follow-up after three months showed that the vaginal stump was healed well and pelvic test results were normal .No complication was found in both groups .Conclusion LAVH for uterine fibroids can effectively shorten surgery length and reduce blood loss , so it is worthy of application and promotion in clinics.
