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目的:通过对264例腹腔镜辅助阴式子宫切除术(LAVH)和常规子宫切除术的比较,探讨LAVH的临床应用价值、可行性及适应证。方法:对比因各种妇科疾病需行子宫切除术的264例LAVH及143例常规子宫切除术手术时间、排气时间、下床日、术后体温平稳日、抗生素使用日、血红蛋白变化、术后出院日。结果:LAVH手术时间、下床日、排气时间、术后体温平稳日、抗生素使用日、血红蛋白变化、术后出院日均少于常规子宫切除手术,其中排气时间、血红蛋白变化、术后出院日减少差异有统计学意义。结论:LAVH损伤小、恢复快、适应证广、容易操作,值得临床推广。
Objective: To investigate the clinical value, feasibility and indications of LAVH by comparing 264 cases of laparoscopic assisted vaginal hysterectomy (LAVH) with conventional hysterectomy. Methods: 264 cases of LAVH who underwent hysterectomy for various gynecological diseases and 143 cases of conventional hysterectomy were selected for operation time, exhaust time, bed-out day, postoperative body temperature stabilization day, antibiotic use day, hemoglobin change, Discharge day. Results: LAVH operation time, bed-out date, exhaust time, postoperative body temperature stable day, antibiotic use day, hemoglobin change, postoperative discharge day were less than conventional hysterectomy, including exhaust time, hemoglobin change, postoperative discharge The difference between days was statistically significant. Conclusion: LAVH is less injury, faster recovery, wide indications, easy to operate and worthy of clinical promotion.