阴式全子宫切除术治疗有症状子宫肌瘤的临床研究

谢彩霞，常旺燕，李爱明，范淑静

（延安市人民医院妇产科，陕西 延安，716000）

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摘要：

目的 探讨阴式全子宫切除术治疗有症状子宫肌瘤的临床效果。方法 选取于我院行阴式子宫切除术（TVH）和腹腔镜辅助下阴式子宫切除术（LAVH）的有症状子宫肌瘤患者125例为研究对象，根据手术方法不同分为TVH组（n=81）和LAVH 组（n=44），比较两组患者的临床效果。结果 两组患者的平均年龄比较，差异无统计学意义（P>0.05）；TVH组腹盆部手术史占比明显低于LAVH组（P<0.05）；TVH组合并内科疾病比例显著高于LAVH 组（P<0.05）；两组患者术中出血量、手术时间及术后并发症总发生率比较，差异无统计学意义（P>0.05）。TVH组平均术后住院时间明显短于LAVH 组（P<0.05）。结论 LAVH与 TVH均为有症状子宫肌瘤全子宫切除的有效且安全的手术方式，对于合并内科疾病的患者，TVH较LAVH更具有优势。

关键词：阴式子宫切除术；子宫肌瘤；腹腔镜辅助阴式子宫切除术

中图分类号：R737.33 文献标志码：A文章编号：2096-1413(2017)11-0050-03

Clinical study of vaginal hysterectomy on symptomatic uterine leiomyomas
XIE Cai-xia, CHANG Wang-yan, LI Ai-ming, FAN Shu-jing
(Department of Gynecology and Obstetrics, Yan'an People's Hospital, Yan'an 716000, China)

ABSTRACT: Objective To investigate the clinical effect of vaginal hysterectomy in the treatment of symptomatic uterine leiomyomas. Methods One hundred and twentyfive cases of patients with symptomatic uterine leiomyomas who were treated with total vaginal hysterectomy (TVH) and laparoscopically assisted vaginal hysterectomy (LAVH) in our hospital were selected as the study objects. All the patients were divided into TVH group (n =81) and LAVH group (n =44), according to different surgery methods. The clinical effects of two groups were compared. Results There was no significant difference on average age between two groups (P>0.05). The rate of enterocoelia and pelvic surgery of the TVH group was lower than that of the LAVH group (P<0.05), and the rate of patients combined with internal medical disease of the TVH group was higher than that of the LAVH group (P<0.05). There was no significant difference on intraoperative blood loss, operation time and complications after operation between two groups (P>0.05). The hospital stays of the TVH group was shorter than that of the LAVH group (P >0.05). Conclusion LAVH and TVH are safe hysterectomy techniques in the treatment of uterine leiomyomas. For patients with internal medical disease, TVH has more advantageous than LAVH.

KEYWORDS: total vaginal hysterectomy (TVH); uterine leiomyomas; laparoscopically assisted vaginal hysterectomy (LAVH)

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