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目的探讨经腹全子宫切除术(TAH)、腹腔镜铺助阴式全子宫切除术(LAVH)及阴式全子宫切除术(TVH)三种手术方式优缺点及临床应用。方法对92例全子宫切除术的患者分别采用以上三种不同手术方法,然后统计其手术时间、术中出血量、术后排气时间、下床活动时间、术后病率、住院天数、镇痛剂应用及住院费用。结果三组手术方法中,术后排气时间、下床活动时间、术后病率、住院天数、镇痛剂应用及住院费用差异有统计学意义(P<0.01),而三种手术方法手术时间及术中出血量差异无统计学意义(P>0.05)。结论TVH、LAVH具有安全性好、创伤小、痛苦少、术后恢复快等优点,临床应用时可依据条件,首选TVH,LAVH作为次选,最后选TAH。
Objective To investigate the advantages and disadvantages of three operation methods including transabdominal total hysterectomy (TAH), laparoscopic vaginal hysterectomy (LAVH) and vaginal hysterectomy (TVH) and its clinical application. Methods 92 cases of hysterectomy patients were used above three different surgical methods, and then statistics of the operation time, blood loss, postoperative exhaust time, ambulation time, postoperative morbidity, length of stay, town Painkillers and hospitalization costs. Results There were significant differences in postoperative exhaust time, ambulation time, postoperative morbidity, duration of hospitalization, analgesic application and hospitalization expense among the three groups of surgical methods (P <0.01). However, the three surgical methods There was no significant difference in time and intraoperative blood loss (P> 0.05). Conclusion TVH and LAVH have the advantages of good safety, less trauma, less pain and quick recovery after operation. According to the conditions, TVH and LAVH are the first choice and TAH is the second choice.