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目的评价腹腔镜鞘内子宫切除术(C ISH)、腹腔镜子宫次全切除术(LSH)和腹腔镜辅助阴式子宫切除术(LAVH)3种术式的临床效果。方法回顾性分析126例应用三种腹腔镜子宫切除术式患者的手术时间、出血量、并发症及术后恢复情况等。结果C ISH组47例,手术时间为(108±34)m in,出血量为(152±63)m l;LSH组37例,手术时间为(96±29)m in,术中出血量为(118±26)m l;LAVH组42例,手术时间为(116±31)m in,出血量为(149±77)m l。三种术式手术时间,术中出血量比较差异无统计学意义;LAVH组并发症相对较少;术后病率LSH组较其他两组显著降低,肛门排气时间LAVH组较其他两组明显延长(P<0.05)。结论3种术式均为腹腔镜下子宫切除的有效术式,且各有利弊,应根据患者的具体情况选择适宜术式。
Objective To evaluate the clinical effects of laparoscopic intrathecal hysterectomy (C ISH), laparoscopic hysterectomy (LSH) and laparoscopic assisted vaginal hysterectomy (LAVH). Methods Retrospective analysis of 126 cases of three kinds of laparoscopic hysterectomy patients surgery time, bleeding, complications and postoperative recovery. Results There were 47 cases in C ISH group, the operative time was (108 ± 34) mm, the amount of bleeding was (152 ± 63) ml; in LSH group, 37 cases were treated with (96 ± 29) 118 ± 26) ml. In the LAVH group, 42 cases were operated for (116 ± 31) mins and the amount of bleeding was (149 ± 77) ml. There was no significant difference in operation time and intraoperative blood loss between the three surgical procedures. There were fewer complications in LAVH group. The postoperative morbidity rate in LSH group was significantly lower than the other two groups. The anal exhaust time in LAVH group was more obvious than the other two groups Extended (P <0.05). Conclusions All three kinds of surgical procedures are effective surgical procedures for laparoscopic hysterectomy, and each has its advantages and disadvantages. Patients should be selected according to the specific circumstances of appropriate surgical procedures.