摘要
目的:观察和评价腹腔镜联合阴式子宫全切术(LAVH)的临床价值。方法:将本院收治的126例子宫良性疾病患者随机分为试验组和对照组各63例,试验组采用腹腔镜联合阴式子宫全切术(LAVH),对照组采用开腹子宫全切术(TAH),比较两组患者手术评价指标(手术失血量、下床活动时间、术后止痛药使用时间及平均住院天数)及术后并发症(阴道残端感染、术后尿失禁、血栓性静脉炎及胃肠功能失调)情况。结果:试验组手术失血量、下床活动时间、术后止痛药使用时间及平均住院天数远低于对照组,差异均有统计学意义(P<0.05);试验组阴道残端感染、术后尿失禁、血栓性静脉炎及胃肠功能失调并发症显著低于对照组,差异均有统计学意义(P<0.05)。结论:腹腔镜联合阴式子宫全切术治疗子宫良性疾病具有创伤小、并发症少、恢复快及美观的特点。
Objective:To observe and evaluate the clinical value of LAVH. Method:126 patients with uterine benign diseases were randomly divided into two groups,each of 63 cases. Experiment group was treated with LAVH,while control group was treated with TAH. Operation evaluation index(bleeding amount,off-bed time,usage time of pain killer,average hospital stays)and complications(vagina nub infection,postoperative uroclepsia,thrombophlebitis,gastrointestinal dysfunction)of the two groups were compared. Result:On bleeding amount,off-bed time,usage time of pain killer,average hospital stays,experiment group was obviously better than control group(P&lt;0.05).On vagina nub infection,postoperative uroclepsia,thrombophlebitis,gastrointestinal dysfunction,experiment group was obviously less than control group(P&lt;0.05). Conclusion:LAVH for treatment of uterine benign diseases has characteristics like small invasion,few complications,soon recovery and beauty.
出处
《中国医学创新》
CAS
2014年第5期33-34,共2页
Medical Innovation of China
关键词
腹腔镜
阴式子宫全切术
临床价值
Laparoscope
Vaginal total hysterectomy
Clinical value