Objective To investigate the clinical effects of vaginal subtotal hysterectomy and laparoscopically assisted vaginal subtorntal hysterectomy. Methods A retrospective analysis was performed in 40 patients undergone two different procedures ( n = 20 for each rngroup), concerning operation duration, average intraoperative bleeding, average length of hospital stay, post -operative complications and rnrecovery. Results The two procedures were statistically different with regard to operation duration, average amount of intra - operative bleedrning (P ＜ 0.05 ), and yet, there were no differences regarding the post- operative recovery, complications and reference to laparotomy (P ＞rn0.05). Conclusion The two procedures have their own advantages and disadvantages. Subtotal hysterectomy assisted by a laparoscope can rnbe favorable to the cases of adenomyosis or large sized adenomyoma associated with pelvic adhesions, and vaginal subtotal hysterectomy rnshould be recommended to those with small sized adenomyoma and functional uterine bleeding.%目的 探讨阴式次全子宫切除与腹腔镜次全子宫切除术的临床效果.方法 回顾性分析2009年4月至2010年12月经阴道和经腹腔镜子宫次全切除术病例各20例,比较两组手术时间、术中出血、住院时间、术后病率、术后恢复情况.结果 两种途径的子宫次全切除术,手术时间、术中出血量差异有统计学意义(P＜0.05),术后恢复、并发症、中转开腹情况差异无统计学意义(P＞0.05).结论 两种手术路径临床效果各有利弊,对子宫腺肌症及子宫大的子宫肌瘤患者且有盆腔粘连者腹腔镜优于阴式;对子宫肌瘤较小及功能性子宫出血的患者阴式次全手术为优选.
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