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    李宁. 大子宫切除术2种手术方式疗效比较[J]. 蚌埠医科大学学报, 2015, 40(5): 614-616. DOI: 10.13898/j.cnki.issn.1000-2200.2015.05.017
    引用本文: 李宁. 大子宫切除术2种手术方式疗效比较[J]. 蚌埠医科大学学报, 2015, 40(5): 614-616. DOI: 10.13898/j.cnki.issn.1000-2200.2015.05.017
    shu
    LI Ning. The clinical comparison of two kinds of operative methods in hysterectomy[J]. Journal of Bengbu Medical University, 2015, 40(5): 614-616. DOI: 10.13898/j.cnki.issn.1000-2200.2015.05.017
    Citation: LI Ning. The clinical comparison of two kinds of operative methods in hysterectomy[J]. Journal of Bengbu Medical University, 2015, 40(5): 614-616. DOI: 10.13898/j.cnki.issn.1000-2200.2015.05.017
    shu

    大子宫切除术2种手术方式疗效比较

    The clinical comparison of two kinds of operative methods in hysterectomy

      摘要
    • 摘要: 目的:对比腹腔镜辅助阴式全子宫切除术(LAVH)与开腹全子宫切除术(TAH)的临床疗效,探讨LAVH的临床意义。方法:选取行全子宫切除术患者64例,按照手术方式分为 LAVH组和TAH组各32例。观察2组切除子宫大小手术时间、术中出血量、术后最高体温、肛门排气时间、住院时间、镇痛泵使用例数等。结果:2组患者切除子宫大小差异无统计学意义(P>0.05),LAVH组术中出血量及手术时间均多于TAH组(P<0.01)。LAVH组术后最高体温、肛门排气时间、住院时间、术后镇痛泵使用例数均明显于TAH组(P<0.05～P<0.01)。结论:2种手术方式各有利弊,LAVA是可行的,具有微创、美观,术后疼痛轻、恢复快、住院时间短等优点。

       

      Abstract: Objective: To compare the clinical effects of the laparoscopic assisted vaginal hysterectomy(LAVH) and total abdominal hysterectomy(TAH),and investigate the LAVH clinical significance.Methods: Sixty-four patients treated with total hysterectomy were divided into LAVH and TAH group(32 cases each group) according to surgical method.The operation time,bleeding,postoperative temperature,anal exhaust time,hospital stay and analgesia pump use between two groups were compared.Results: The difference of uterine size between two groups was not statistically significant(P>0.05),the bleeding and operation time in LAVH group were higher than those in TAH group(P<0.01).The postoperative temperature,anal exhaust time,hospital stay and analgesia pump use in LAVH group were significantly lower than those in TAH group(P<0.05 to P<0.01).Conclusions: The two kinds of surgical methods have different advantages and disadvantages.LAVH is feasible,minimally invasive and beautiful,the postoperation of which is light pain,quick recovery and short hospital stay.

       

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