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目的比较腹腔镜全子宫切除术与开腹全子宫切除术的临床效果。方法 2009年8月至2010年9月共行全子宫切除术80例,30例采用全身麻醉下腹腔镜全子宫切除术(腹腔镜组),50例腰-硬联合麻醉下行传统开腹全子宫切除术(开腹组)。比较2组术后体温高峰的数值、术后排气时间、术后下床活动时间及住院天数等情况。结果腹腔镜组术后体温高峰的数值〔(37.74±0.60)vs(38.50±0.32)℃〕、术后排气时间〔(31.27±9.88)vs(53.80±11.82)h〕、术后下床活动时间〔(39.60±10.98)vs(63.92±11.39)h〕及住院天数〔(8.17±2.61)vs(10.74±3.74)d〕均优于开腹手术组(P<0.05或P<0.01)。结论腹腔镜全子宫切除术具有创伤小、术后恢复快、住院天数少等优点。但复杂的手术,其操作过程对手术医生的要求高。对其引起的血液高凝状态及术后肩痛问题应引起重视。
Objective To compare the clinical effects of laparoscopic hysterectomy and open hysterectomy. Methods From August 2009 to September 2010, 80 cases of total hysterectomy were performed. Thirty patients underwent laparoscopic total hysterectomy under general anesthesia (laparoscopic group) and 50 patients undergoing combined lumbar - Excision (open group). Comparing the postoperative peak body temperature values, postoperative exhaust time, postoperative ambulation time and hospitalization days and so on. Results After laparoscopic surgery, the peak body temperature (37.74 ± 0.60 vs 38.50 ± 0.32 ° C), postoperative exhaust time (31.27 ± 9.88 vs 53.80 ± 11.82 h), postoperative ambulation The time [(39.60 ± 10.98) vs (63.92 ± 11.39) h) and length of hospital stay (8.17 ± 2.61 vs 10.74 ± 3.74 d) were significantly better than those in the open surgery group (P <0.05 or P <0.01). Conclusions Laparoscopic hysterectomy has the advantages of less trauma, quick recovery after operation, fewer days of hospitalization and so on. However, the complexity of the operation, the operation of the surgeon demanding. Caused by the blood hypercoagulability state and shoulder pain after surgery should pay attention.