Clinical and Health Economics Evaluation of Patients with Uterus Myoma Performing AH and LAVH

Conclusion LAVH has notable superiority of mild trauma, minimal injury and quick recovery in gynecologic surgery.

结论腹腔镜辅助阴式全宫切除术在妇科手术具有明显优势，创伤小，痛苦少，恢复快。

Objective To evaluate the feasibility and effect of laparoscopic assisted vaginal hysterectomy ( LAVH) and transvaginal hysterectomy ( TVH) in patient whose enlarged uterus was over 12 gestational weeks.

目的探讨超过妊娠12周的大子宫经阴道子宫切除及腹腔镜辅助经阴道子宫切除术的安全性及疗效。

Objective: Summarize the security, feasibility, value, complication and operation skill of laparoscopically assisted vaginal hysteractomy ( LAVH).

目的：总结腹腔镜辅助下阴式子宫切除术（LAVH）的安全性、可行性、价值、并发症及手术技巧。

【 Objective 】: To compare the impacts of Laparoscopically Assisted Vaginal Hysterectomy ( LAVH) and Abdominal Hysterectomy ( AH) on insulin resistance and angiotensin-converting enzyme.

目的：比较开腹全子宫切除术和腹腔镜辅助的阴式全子宫切除术对胰岛素抵抗及血管紧张素转化酶的影响。

Methods LAVH were carried out in 68 patients with myoma of uterus, adenomyosis, and cervical carcinoma in situ, ovarian tumor and so on, which were all indications for uterus resection.

方法对68例妇女因患子宫肌瘤、子宫腺肌症、子宫颈原位癌、卵巢肿瘤等病变有子宫切除指征的患者行腹腔镜辅助阴式全子宫切除术。

Conclusion Compared with LAVH, TLH is feasible to deal with bigger uterus with less blood loss and shorter surgery duration and without more frequent complications.

结论TLH组切除的子宫体积较大，不影响出血量和手术时间，且并发症较少。

Objective To investigate effects and techniques of laparoscopic assisted transvaginal hysterectomy ( LAVH).

目的探讨腹腔镜辅助阴式全子宫切除术的效果、手术要点。

Objective: To evaluate the clinical effect of laparoscopically total hysterectomy ( LTH) and laparoscopically assisted vaginal hysterectomy ( LAVH).

目的：评价腹腔镜全子宫切除（LTH）和腹腔镜辅助阴式子宫切除（LAVH）两种术式的临床效果。

To compare the clinical characteristics and efficacy between total abdominal hysterectomy ( TAH) and laparoscopically assisted vaginal hysterectomy ( LAVH).

比较腹腔镜辅助阴式子宫切除术（LAVH）与经腹子宫切除术（TAH）的临床效果。

Three different surgical postoperative passage of flatus is more significant differences ( P0.05), exhaust time between the laparoscopy and LAVH, LAVH with abdominal surgery differences were significant ( P0.05). 3.

三种不同术式的术后排气时间比较有显著差异（P0.05），腹腔镜手术与LAVH、LAVH与经腹手术之间排气时间比较均差异显著（P0.05）。

Pelvic lymphadenectomy was conducted in all the cases; while selective lymphadenectomy of peripheral lymph nodes of the abdominal aorta was performed in 5 cases, followed by laparoscope-assisted vaginal hysterectomy ( LAVH).

62例根据病变部位和淋巴结切除术适应证行盆腔淋巴结切除术，5例行选择性腹主动脉周围淋巴结切除，再行腹腔镜辅助阴式广泛子宫切除术。

Objective To compare the clinical efficacy of transvaginal hysterectomy ( TVH) and laparoscopic-assisted vaginal hysterectomy ( LAVH). Clinical analysis of abdominouterotomy and hysterectomy via vagina

目的对比研究经阴道非脱垂子宫切除（transvaginal hysterectomy，TVH）、腹腔镜辅助阴式全子宫切除术（laparoscopic-assisted vaginal hysterectomy，LAVH）的临床效果。腹式及阴式全子宫切除术的临床对照分析

[ Methods] Clinical material of 54 patients who had been put LAVH was analyzed with retrospective methods and compared with clinical material of 46 cases of TVH.

方法回顾性分析了46例TVH和54例LAVH病例的临床资料。

Objective To compare the stress response and clinic convalescence of abdominal hysterectomy ( AH), laparoscopic assisted vaginal hysterectomy ( LAVH) and vaginal hysterectomy ( VH).

目的比较腹式（AH）、腹腔镜辅助阴式（LAVH）与阴式子宫切除术（VH）三种术式的机体应激反应及术后恢复的差异。

LAVH have less damage than TAH, recovery good, worthy to be popularized.

LAVH较TAH有损伤小、恢复好等优点，值得临床推广。

Methods The study retrospectively analyzed 75 cases of TVH ( TVH Group) and 69 cases of LAVH ( LAVH Group) from January 2004 to October 2004.All the patients were diagnosed as having benign uterine diseases, without uterine prolapse and less than 20 gestational weeks.

方法回顾分析2004年1月~2004年10月无子宫脱垂、子宫大小不超过20孕周的良性子宫疾病行TVH75例和LAVH69例临床资料。

Objective To investigate urinary tract injuries in laparoscopic-assisted vaginal hysterectomy ( LAVH).

目的总结腹腔镜辅助阴式子宫切除术（laparoscopic-assisted vaginal hysterectomy，LAVH）泌尿系统损伤的教训与处理经验。

Objective To state operative details of lip shaped hepatectomy ( LSH) and evaluate its advantage in treatment of primary liver cancer ( PLC).

目的陈述唇形切肝法的操作细节并评议此种方法治疗原发性肝癌（PLC）的优点。

But the rate of postoperative hemorrhage, farting time and in-hospital time of LSH group were less than those of ASH group ( P < 0.01).

LSH组与ASH组比较，术中山血量少、住院时间短、排气时间早（均P<0.01）。

According to micro-blog marketing strategy of LSH, the company must make the specific implementation plan, to prevent and control the risk.

并针对LSH公司的微博营销策略提出具体的实施方案，以及风险的防范和控制。