Clinical effects of transvaginal and laparoscopic assisted transvaginal hysterectomy on treatment of non-prolapsed benign uterine lesions
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摘要: 目的 比较阴式与腹腔镜辅助阴式全子宫切除术对非脱垂良性子宫病变的临床疗效.方法 选取非脱垂良性子宫病变患者198例,随机分为阴式组97例、腹腔镜辅助组101例,比较2组术中和术后情况.结果 腹腔镜辅助组手术时间显著长于阴式组,但出血量显著增多；腹腔镜辅助组术后排气时间显著短于阴式组,而术后3d最高体温、术后住院天数2组无显著差异；阴式组总的并发症发生率显著高于腹腔镜辅助组.结论 对于非脱垂子宫良性病变患者,腹腔镜辅助阴式子宫切除术时间稍长,但术中出血少、恢复快、术中术后并发症少.
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关键词:
- 非脱垂子宫 /
- 阴式子宫切除术 /
- 腹腔镜辅助阴式子宫切除术
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陈卫红, 马银芬, 陈龙. 阴式与腹式全子宫切除术机体应激反应的比较 [J]. 中国微创外科杂志, 2012(3):254.doi: 10.3969/j.issn.1009-6604.2012.03.020. Hwang J L, Seow K M, Tsai Y L. Comparative study of vaginal, laparoscopically assisted vaginal and abdominal hysterectomies for uterine myoma larger than 6 cm in diameter or uterus weighing at least 450 g:a prospective randomized study [J]. Acta Obstetricia Et Gynecologica Scandinavica, 2002, (12):1132. Boukerrou M, Lambaudie E, Collinet P. A history of cesareans is a risk factor in vaginal hysterectomies [J]. Acta Obstetricia Et Gynecologica Scandinavica, 2003, (12):1135. Kongwattanakul K, Khampitak K. Comparison of laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy:a randomized controlled trial [J]. Journal of Minimally Invasive Gynecology, 2012(1):89. 冷金花, 郎景和, 李华军. 三种不同全子宫切除术式对患者围手术期生活质量的影响和卫生经济学研究 [J]. 中国实用妇科与产科杂志, 2004(5):315. Summitt R L, Stovall T G, Lipscomb G H. Randomized comparison of laparoscopy-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting [J]. Obstetrics and Gynecology, 1992(6):895.
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