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目的对比分析开腹子宫切除术(TAH)、经阴道子宫切除术(VH)和腹腔镜下全子宫切除术(TLH)的短期临床效果。方法回顾性地分析TAH54例、VH45例和TLH51例的临床病历记录,包括手术时间,术中出血量,术中、术后并发症和术后住院日。结果TLH的手术时间明显长于TAH和VH,分别为130min、70min和75min。术后住院日TAH明显长于TLH和VH,后两者比较差异无显著性。TLH和VH各有1例中转开腹。TLH中,有1例术后出现膀胱阴道瘘。结论VH具有手术时间短、微创、术后恢复快和价格低廉的优点。
Objective To compare the short-term clinical outcomes of open hysterectomy (TAH), vaginal hysterectomy (VH) and laparoscopic total hysterectomy (TLH). Methods The records of clinical records of 54 cases of TAH, VH45 cases and TLH51 were retrospectively analyzed, including operation time, intraoperative blood loss, intraoperative and postoperative complications and postoperative hospital stay. Results The operation time of TLH was significantly longer than TAH and VH, which were 130min, 70min and 75min, respectively. The postoperative hospitalization TAH was significantly longer than TLH and VH, the latter two was no significant difference. One case of TLH and VH had laparotomy. TLH, 1 case of vesico-vaginal fistula occurred. Conclusion VH has the advantages of short operation time, minimally invasive, rapid postoperative recovery and low cost.