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目的探讨腹腔镜全子宫切除术(LTH)与腹腔镜辅助阴式子宫切除术(LAVH)2种术式的应用价值。方法选取2008年5月～2010年5月在本院行腹腔镜子宫切除手术的患者222例,其中LTH组85例、LAVH组137例,比较其出血量、手术时间、术后恢复排气时间、术后住院时间及并发症等情况。结果 LTH组术中出血量为(89.50±16.38)mL,明显少于LAVH组的(119.40±16.98)mL;手术时间LTH组为(158.00±5.87)min,明显长于LAVH组的(106.00±5.15)min,差异均具有统计学意义(P<0.05)。在手术后恢复排气时间、术后住院时间及手术并发症方面,两组差异无统计学意义(P>0.05)。结论 LTH和LAVH均是安全可行的术式,各有优缺点,LTH有成为子宫切除主要术式的趋势,应根据患者的具体情况及术者的熟练程度选择具体的方式。
Objective To investigate the value of laparoscopic total hysterectomy (LTH) and laparoscopic assisted vaginal hysterectomy (LAVH) in two kinds of operation. Methods Totally 222 patients undergoing laparoscopic hysterectomy in our hospital from May 2008 to May 2010 were selected, including 85 cases in LTH group and 137 cases in LAVH group. The bleeding, operation time, , Postoperative hospital stay and complications. Results The blood loss of LTH group was (89.50 ± 16.38) mL, which was significantly lower than that of LAVH group (119.40 ± 16.98 mL). The LTH group was (158.00 ± 5.87) min and significantly longer than LAVH group (106.00 ± 5.15) min, the differences were statistically significant (P <0.05). There was no significant difference between the two groups (P> 0.05) in resuming exhaust time, postoperative hospital stay and complications after operation. Conclusion LTH and LAVH are safe and feasible surgical procedures, each with its own advantages and disadvantages, LTH has become the main surgical hysterectomy trend, should be based on the specific circumstances of patients and surgeons choose the specific way.