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首页> 外文期刊>Archives of gynecology and obstetrics. >A prospective randomised study of total laparoscopic hysterectomy, laparoscopically assisted vaginal hysterectomy and non-descent vaginal hysterectomy for the treatment of benign diseases of the uterus.
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A prospective randomised study of total laparoscopic hysterectomy, laparoscopically assisted vaginal hysterectomy and non-descent vaginal hysterectomy for the treatment of benign diseases of the uterus.

机译：一项全腹腔镜子宫切除术，腹腔镜辅助阴道子宫切除术和非下降性阴道子宫切除术治疗子宫良性疾病的前瞻性随机研究。

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摘要

AIMS AND OBJECTIVES: To compare the three techniques of hysterectomy-total laparoscopic hysterectomy (TLH), laparoscopic assisted vaginal hysterectomy (LAVH) and non-descent vaginal hysterectomy (NDVH). MATERIALS AND METHODS: Ninety women with benign disease of uterus with failed medical management or not amenable to medical management were randomised into three groups for either technique of hysterectomy, thirty in each group, by the same surgeon. For each patient, intra-operative parameters including total duration of surgery, blood loss, surgical difficulty and intra-operative complications were recorded. Total hospital stay, adverse events, satisfaction rate and recuperation time was analysed and compared. Statistical analysis was done using SPSS15 software. RESULTS: Non-descent vaginal hysterectomy (NDVH) took least operative time and significantly lesser blood loss (p = 0.02) compared to TLH and LAVH. There was no significant difference between adverse events, recuperation time and postoperative pain between the three techniques. CONCLUSIONS: Non-descent vaginal hysterectomy may be a preferred technique over laparoscopic hysterectomy for benign diseases of uterus where extensive pelvic dissection is not required.
机译：目的和目的：比较子宫切除术-全腹腔镜子宫切除术（TLH），腹腔镜辅助阴道子宫切除术（LAVH）和非下降性阴道子宫切除术（NDVH）的三种技术。材料与方法：将90例子宫良性疾病，药物治疗失败或不适合药物治疗的妇女随机分为三组，分别采用子宫切除术，每组三十名，由同一位外科医生进行。对于每位患者，记录术中参数，包括总手术时间，失血量，手术难度和术中并发症。分析并比较了总住院时间，不良事件，满意度和休养时间。使用SPSS15软件进行统计分析。结果：与TLH和LAVH相比，非下降性阴道子宫切除术（NDVH）花费的手术时间最少，出血量明显减少（p = 0.02）。三种技术之间的不良事件，休养时间和术后疼痛之间无显着差异。结论：对于不需要良性盆腔解剖的子宫良性疾病，非下降阴道子宫切除术可能比腹腔镜子宫切除术更可取。

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