标题：腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤疗效观察

      作者：谢家滨
    （深圳市松岗人民医院妇产科，广东 深圳 518105）

      卷次： 2012年23卷11期

      【摘要】 目的 探讨腹腔镜辅助阴式全子宫切除术（LAVH）治疗巨大子宫肌瘤疗效。方法 176例巨大子
宫肌瘤患者分为三组，LAVH组60例，阴式子宫切除术（TVH）组58例，开腹子宫切除术（TAH）组58例，比较三组
术中平均出血量、手术时间、肛门排气时间、术后下床活动时间、术后疼痛情况及术后住院时间。结果 LAVH组
的手术时间明显长于TVH组和TAH组，差别均有统计学意义（P＜0.01）；LAVH组的肛门排气时间、术后下床时
间及术后住院时间明显短于TVH组和TAH组，术后疼痛情况明显优于TVH组和TAH组，差异均有统计学意义
（P＜0.05或0.01）。结论 在严格掌握适应证情况下，LAVH是治疗巨大子宫肌瘤的有效的方法，手术创伤小，术
后恢复快，值得临床推广应用。

      【关键词】 腹腔镜辅助阴式全子宫切除术；巨大子宫肌瘤；临床疗效

      【中图分类号】 R713.4+2 【文献标识码】 A 【文章编号】 1003—6350（2012）11—031—02<

br>Clinical observation of huge uterine fibroid treated by laparoscopic assisted vaginal hysterectomy.
XIE Jia -bin.
The Songgang People's Hospital of Shenzhen City, Shenzhen 518105, Guangdong, CHINA

【Abstract】 Objective To explore the clinical effect of huge uterine fibroid treated by laparoscopic assisted
vaginal hysterectomy (LAVH). Methods One hundred and seventy-six huge uterine fibroid patients were divided in-
to three groups. LAVH group (n=60) were treated with LAVH, TVH group (n=58) were treated with total vaginal hys-
terectomy (TVH), YAH group (n=58) were treated with total abdominal hysterectomy (TAH). The three groups were
compared in terms of the blood loss, operation time, the time of anal exsufflation, act-time leaving bed, pain after oper-
ation and the hospital stay time. Results The operative time in LAVH group was significantly longer than the TVH
and TAH groups (P<0.01); the time of anal exsufflation, the act-time leaving bed and the hospital stay time in LAVH
group were significantly shorter than the TVH and TAH groups, the pain after operation was better than the TVH and
TAH groups (P<0.05 or 0.01）. Conclusion By strict evaluation before surgery, LAVH used for huge uterine fibroids
has the advantage of good effect, little wound and fast recovery, which is worthy of clinical implication.

      【Key words】 Laparoscopic assisted vaginal hysterectomy; Huge uterine fibroid; Clinical effect