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目的探讨非脱垂大子宫经腹腔镜下子宫切除术(TLH)与经阴道子宫切除术(TVH)的疗效。方法回顾性比较140例非脱垂大子宫(子宫体积如孕12-14周)经腹腔镜下子宫切除术(TLH)与经阴道子宫切除术(TVH)两种手术方式的手术时间,估计出血量,并发症、术后病率、胃肠功能恢复时间等。结果 TVH组1例术中中转开腹,TLH组无中转开腹者,TLH组较TVH组手术时间长(P<0.01),术中出血量,术后病率,胃肠功能恢复时间、最早自主下床活动时间、术后住院日(P<0.01);TLH组较TVH组住院费用高(P<0.01)。结论大子宫经腹腔镜下子宫切除术虽然较经阴道切除住院费用高,但对病人损伤小、术后恢复快,术后住院时间短。
Objective To investigate the efficacy of laparoscopic hysterectomy (TLH) and vaginal hysterectomy (TVH) in non-prolapsed large uterus. Methods Retrospectively compared the operation time of 140 cases of non-prolapsed large uterus (uterine volume, such as 12-14 weeks of pregnancy) by laparoscopic hysterectomy (TLH) and vaginal hysterectomy (TVH) Volume, complications, postoperative morbidity, gastrointestinal function recovery time and so on. Results One patient in TVH group was converted to laparotomy during operation. There was no transit laparotomy in TLH group. The operation time was longer in TLH group than in TVH group (P <0.01). The blood loss, postoperative morbidity, recovery time of gastrointestinal function were the earliest The time for getting out of bed and the postoperative hospital stay (P <0.01); the cost of hospitalization in TVH group was higher than that in TLH group (P <0.01). Conclusions Although the hysterectomy in the large uterus is more expensive than the vaginal hysterectomy, the damage to the patient is small and the postoperative recovery is quick. The postoperative hospitalization time is short.