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目的:探讨全子宫切除三种术式即:经腹全子宫切除术(TAH)、阴式全子宫切除术(TVH)、腹腔镜下全子宫切除术(LH)的临床效果及价值。方法:选取2009年3月—2011年3月因子宫良性疾病采用TAH 60例、TVH 40例、LH 30例患者进行分析,比较三组患者手术时间、术中出血量、肛门排气时间、下床活动时间、术后住院天数、手术费用及术中术后并发症发生情况等。结果:平均手术时间、平均出血量:LH组、TAH组、TVH组三组比较,无明显差异;术后下床活动时间、肛门排气时间、术后平均住院时间、手术费,LH组和TVH组与TAH组相比差异有统计学意义,三组术中、术后均无相关并发症发生。结论:LH组、TVH组临床效果优于TAH组,在无手术禁忌证的情况下TVH是创伤最小而效果最好的手术方式。
Objective: To investigate the clinical effect and value of three kinds of total hysterectomy: transabdominal total hysterectomy (TAH), vaginal hysterectomy (TVH) and laparoscopic total hysterectomy (LH). Methods: March 2009 March 2011 due to benign uterine disease TAH 60 cases, 40 cases of TVH, LH 30 patients were analyzed, the operation time, blood loss, anal exhaust time, Bed activity time, postoperative hospital stay, operation costs and intraoperative and postoperative complications and so on. Results: The mean operative time and mean amount of bleeding: There was no significant difference between the three groups in LH group, TAH group and TVH group. The time of bed ambulation, anal exhaust time, average postoperative hospital stay, operation cost, LH group and TVH group and TAH group compared with the difference was statistically significant, three groups were no postoperative complications occurred. Conclusion: The clinical effect of LH group and TVH group is better than that of TAH group. TVH is the best and most effective surgical method in the absence of surgical contraindications.