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目的比较阴式子宫全切除术(TVH)和腹腔镜辅助阴式子宫全切除术(LAVH)的临床效果。方法收集我院2005.1～2006.7收住院行子宫切除的病例,其中TVH手术60例,LAVH手术58例。比较疾病的种类、手术时间、术中出血量、住院时间及术后恢复情况等。结果两组手术都顺利,手术时间TVH组(56±15)min,LAVH组(100±38)min,术中出血量TVH组(82±32)ml,LVAH组(126±42)ml,住院时间组TVH(5.6±0.8)d,LAVH组(5.8±1.2)d。手术并发症TVH组1.38%,LAVH组1.26%。结论子宫大小、盆腔粘连程度、附件包块、子宫内膜异位症等是选择手术方式需考虑的重要因素。
Objective To compare the clinical effects of vaginal hysterectomy (TVH) and laparoscopic assisted vaginal hysterectomy (LAVH). Methods The cases of hysterectomy admitted from January 2005 to July 2006 in our hospital were collected, including 60 cases of TVH and 58 cases of LAVH. Compare the type of disease, operation time, intraoperative blood loss, hospital stay and postoperative recovery. Results The operation was successful in both groups. The duration of operation was 56 ± 15 min in TVH group, 100 ± 38 min in LAVH group, 82 ± 32 mL in TVH group and 126 ± 42 mL in LVAH group. TVH (5.6 ± 0.8) d in the time group and 5.8 ± 1.2 days in the LAVH group. The complications of TVH group were 1.38% and 1.26% in LAVH group. Conclusion Uterine size, pelvic adhesions, annex mass, endometriosis and so on are the important factors to be considered in the selection of surgical methods.