两种术式子宫切除术的临床分析
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【摘要】目的探讨经腹全子宫切除术(TAH)、腹腔镜辅助下经阴道全子宫切除(LAVH)两种术式术中、术后的情况比较。方法回顾性选择并分析笔者所在医院2006~2010年行子宫切除术的患者共126例，其中TAH 76例，LAVH 50例，比较两者术中出血量、手术时间、术后镇痛率、排气时间、抗生素使用时间、阴道残端出血、腹部切口愈合等情况。采用χ2检验。结果LAVH组的手术、排气、抗生素使用时间均较TAH组短，术中出血少，差异有显著性(P<0.01)，两者均无阴道残端出血、无肠梗阻及脏器损伤，腹部切口均为Ⅰ期愈合。结论LAVH较TAH有损伤小、恢复好等优点，值得临床推广。
【关键词】全子宫切除；阴式；腹式
The clinical analysis of two kinds of surgical in hysterectomy LI De-hong,WU Ling.Lianyungang Women and Children Healthcare Hospital,Lianyungang 222000,China
【Abstract】ObjectiveInvestigate the total abdominal hysterectomy(TAH),laparoscopic aided by transvaginal hysterectomy(all LAVH) two operation of intraoperatie,postoperative comparison.MethodsWe retrospectively selected and analysis of 2006-2010 hospital patients hysterectomy 126 cases,of which TAH 76 cases,LAVH 50 cases,compared blood loss,operative time,postoperative pain rate,exhaust time,time to antibiotics,vaginal stump bleeding,abdominal incision healing of TAH and LAVH ......
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