| 李文霞 陈德娟 颜爱华 殷金凤 付琼.腹腔镜辅助阴式全子宫切除术在巨大子宫肌瘤治疗中的应用价值[J].,2015,15(2):312-315 |
| 腹腔镜辅助阴式全子宫切除术在巨大子宫肌瘤治疗中的应用价值 |
| Application Value of Laparoscopically Assisted Vaginal Hysterectomy in theTreatment of Huge Leiomyoma Uterus |
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| DOI： |
| 中文关键词: 腹腔镜 阴式全子宫切除术 巨大子宫肌瘤 应用价值 |
| 英文关键词: Laparoscopy Vaginal hysterectomy Huge uterine fibroids Application value |
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| 中文摘要: |
| 目的：研究腹腔镜辅助阴式全子宫切除术（Laparoscopic assisted vaginal hysterectomy，LAVH）在巨大子宫肌瘤（Huge
leiomyoma uterus，HLU）治疗中的应用价值。方法：从2012 年9 月到2013 年9 月，选择在我院接受手术治疗的HLU 患者130 例
作为研究对象。根据手术方案进行分组，其中LAVH 组65 例，TAH组65 例，对比两组手术情况，术后并发症情况以及两组患者
疼痛情况。结果：LAVH组的肛门排气时长、下床活动时长、住院时长均显著少于TAH组，但手术时长大于TAH组，差异均有统
计学意义（均P＜0.05）。两组在术中出血量方面对比，差异无统计学意义（P＞ 0.05）。LAVH组的术后并发症与TAH组相比，差异
无统计学意义（P＞ 0.05）。LAVH 组的VAS评分及VDS 评分均显著低于TAH组，差异均有统计学意义（均P＜0.05）。结论：
LAVH术式在HLU 中具有较大的应用价值，临床上应重视其适应证，优先选择此类术式，效果显著，值得临床关注。 |
| 英文摘要: |
| Objective:To study the application value of laparoscopically assisted vaginal hysterectomy in the treatment of huge
leiomyoma uterus.Methods:130 HLU patients undergoing surgery from September 2012 to September 2013 in our hospital were chosen
for the study and were devided into the LAVH group, with 65 patients, and the TAH group with 65 cases, according to the surgery
programs. Surgery, postoperative complications and patients'pain conditions were compared between the two groups.Results:LAVH
group's time of anal exhaust, ambulation and hospitalization were significantly shorter than that of TAH group respectively, but surgery
time in TAH surgery group was longer, and the differences were statistically significant (P <0.05). The blood loss in the two groups
presented no statistically significant difference (P> 0.05). Difference in postoperative complications was not statistically significant when
compared between the two groups (P> 0.05). LAVH group's VAS score and VDS scores were significantly lower than those of TAH
group, and the differences were statistically significant (P <0.05).Conclusion:LAVH procedure has great value in treating HLU, so we
should attach importance to the clinical indications. The effect of such style of surgery is significant and it is worthy of attention. |
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