论文部分内容阅读
目的:比较腹腔镜辅助的阴式子宫切除术(LAVH)与经腹子宫切除术(TAH)的临床效果。方法:选择南京市迈皋桥医院2010年2月～2012年2月156例患者,分别采用两种手术方式切除子宫,比较两种手术方式的手术时间、术中出血量、术后排气及住院时间、费用等。结果:LAVH组术中出血量(103.56±18.19)ml,小于TAH组的(137.20±24.34)ml;LAVH组术后排气时间(20.72±4.79)h,小于TAH组(31.00±5.85)h;LAVH组住院时间(4.78±0.79)天,小于TAH组(7.45±1.05)天;LAVH组手术时间(108.91±21.02)min,大于TAH组(74.65±12.72)min;LAVH组住院费用(6 619.09±459.92)元,大于TAH组(4 620.00±267.50)元,差异均有统计学意义(P<0.01)。结论:两种手术方式各有利弊,LAVH充分体现了微创的优越性,但费用较高,手术技术要求高,应当根据患者的具体情况和医生的经验来选择恰当的手术方式。
Objective: To compare the clinical effects of laparoscopic assisted vaginal hysterectomy (LAVH) and abdominal hysterectomy (TAH). Methods: 156 patients in Maigaoqiao Hospital of Nanjing from February 2010 to February 2012 were enrolled in this study. The uteri were removed by two surgical methods. The operation time, intraoperative blood loss, postoperative exhaust, Length of stay, cost, etc. Results: The mean amount of bleeding in the LAVH group was (103.56 ± 18.19) ml less than that in the TAH group (137.20 ± 24.34) ml, the duration of postoperative LVEH was (20.72 ± 4.79) h in the LAVH group, less than that in the TAH group (31.00 ± 5.85) h, LAVH group was shorter than TAH group (4.78 ± 0.79) days, less than that of TAH group (7.45 ± 1.05) days; LAVH group was shorter than that of TAH group (108.91 ± 21.02) min (74.65 ± 12.72) min; LAVH group (6 619.09 ± 459.92) yuan, which is greater than TAH group (4 620.00 ± 267.50) yuan, the difference was statistically significant (P <0.01). Conclusion: There are advantages and disadvantages of the two surgical approaches. LAVH fully reflects the superiority of minimally invasive surgery. However, the cost is high and the technical requirements for operation are high. The proper operation method should be chosen according to the specific conditions of the patients and the doctors’ experience.