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目的通过比较腹腔镜辅助阴式子宫切除术(LAVH)与阴式子宫切除术(VH)的手术适应证,探讨手术患者的最佳选择。方法回顾性分析解放军91中心医院2008-01-2010-12 LAVH与VH手术病例231例,比较两种手术在手术时间、出血量、住院天数、手术并发症及两者的手术适应证等的不同。结果两组手术在术中出血、住院天数、手术并发症等方面差异无统计学意义。LAVH组手术时间较长与患者子宫大、盆腔粘连者多、手术难度大有关。结论 LAVH与VH均为创伤小、恢复快的微创手术,各有其适应证。
Objective To compare the operative indications of laparoscopic assisted vaginal hysterectomy (LAVH) and vaginal hysterectomy (VH) to explore the best choice for surgical patients. Methods We retrospectively analyzed 231 cases of LAVH and VH operation in 91 Central Hospital of People’s Liberation Army from January 2008 to October 2010 and compared the operation time, blood loss, length of hospital stay, operative complications and surgical indications between the two operations . Results There was no significant difference between the two groups in operation bleeding, hospitalization days, surgical complications and so on. LAVH group surgery longer with the patient’s uterus, pelvic adhesions were more difficult to operate. Conclusion LAVH and VH are minimally invasive, minimally invasive surgery with rapid recovery, each with its indications.