Clinical comparison study of laparoscopically assisted vaginal hysterectomy and transabdominal hysterectomy
10.3760/cma.j.issn.1673-4904.2011.30.006
- VernacularTitle:腹腔镜辅助阴式子宫全切术与经腹子宫全切术临床对比研究
- Author:
Yunming SUN
;
Xiao SHI
;
Yuxin TANG
;
Yanjie CHEN
- Publication Type:Journal Article
- Keywords:
Laparoscopies;
Hysterectomy,vaginal;
Complication
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(30):14-16
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo compare the clinical effects of laparoscopically assisted vaginal hysterectomy (LAVH) and transabdominal hysterectomy (TAH).MethodsOne hundred and twenty-six cases operated with hysterectomy were classified into LAVH group and TAH group by random digits table with 63 cases each.The operation time,intraoperative bleeding amount,exhaust time,hospitalization time and postoperative complications were observed and compared.ResultsThe operation time,intraoperative bleeding amount,exhaust time and hospitalization time was ( 115.6 ± 13.8 ) min,(92.5 ± 11.3 ) ml,(21.8 ±4.8) d and (6.1 ± 1.7) d in LAVH group,( 82.5 ± 8.7) min,( 112.3 ± 17.8) ml,(28.9 ± 6.2) d and (9.6 ±2.2) d in TAH group,there were significant differences between two groups (P＜0.05).The incidence of incision pain,delayed wound healing,vaginal stump infection,thrombophlebitis,and gastrointestinal disorders was 9.5％(6/63),0,1.6％(1/63),0 and 7.9％(5/63) in LAVH group,which was significantly lower than that in TAH group [52.4％(33/63),7.9％(5/63),11.1％(7/63),7.9％(5/63) and 22.2％ ( 14/63 ) ] (P ＜ 0.05).ConclusionCompared with TAH,LAVH can shorten exhaust time,hospitalization time,reduce intraoperative bleeding amount,decrease complication rate,which can be further applied in clinic.
