子宫切除术_阴道式；腹腔镜；开腹手术_

腹腔镜在阴式非脱垂全子宫切除术中的应用

http://www.100md.com 《腹腔镜外科杂志》 2006年第6期

子宫切除术,阴道式；腹腔镜；开腹手术,,子宫切除术，阴道式；腹腔镜；开腹手术,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：比较改良的非脱垂子宫腹腔镜辅助下阴式全子宫切除术(laparoscopicassisted vaginal hysterectony,LAVH)与传统腹式全子宫切除术(trans abdominal hysterectomy,TAH)的临床应用价值。方法：回顾性分析我院2004年1月至2006年3月86例LAVH和90例TAH患者的临床资料。结果：LAVH组的平均肛门排气时间、平均住院天数、术后疼痛时间明显短于TAH组(P<0.05)。LAVH组的术后并发症明显少于TAH组(P<0.01)。LAVH组手术时间及术中出血量少于TAH组，但无统计学意义。结论：LAVH优于TAH，在临床上有广阔的应用前景。

    【关键词】子宫切除术，阴道式；腹腔镜；开腹手术

    The application of modified laparoscopicassisted vaginal hysterectomy without prolapsis

    JIANG Ru,TU Ling.

    The Hospital of Women and Children,Jiangxi Province,Nanchang 330006,China

    【Abstract】 Objective:To compare the clinical efficacy between modified laparoscopicassisted vaginal hysterectomy(LAVH) and trans abdominal hysterectomy(TAH).Methods:The dinical data of 86 LAVH and 90 TAH of our hospital from January 2004 to March 2006 were retrospectively analysed.Results:The average time of passage of gas by anus,hospital stay,postoperative pain and complications are significantly less in LAVH group than that in TAH group.Conclusions:LAVH has advantages over TAH and has a wide perspective in clinical application. ......

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