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目的比较经腹全子宫切除术(TAH)与腹腔镜下全子宫切除术(LTH)的临床效果,探讨全子宫切除术的最佳手术途径。方法选择行全子宫切除术患者108例,按照自愿的原则,46例患者采取经腹全子宫切除术,分为TAH组;62例患者采取腹腔镜下全子宫切除术,分为LTH组,比较两组患者术中及术后情况。结果两组在上述方面比较,差异具有(高度)统计学意义(P<0.01,P<0.05);手术时间比较,差异无统计学意义(P>0.05),LTH组临床效果好于TAH组。结论对良性子宫病变施行全子宫切除术时,应首选LTH方式手术,可提高临床效果,促进患者恢复。
Objective To compare the clinical effects of total hysterectomy (TAH) and laparoscopic total hysterectomy (LTH) to explore the best surgical approach to total hysterectomy. Methods A total of 108 patients underwent hysterectomy. According to the principle of voluntariness, 46 patients underwent total hysterectomy and were divided into TAH group. Sixty-two patients underwent laparoscopic hysterectomy and were divided into LTH group, Two groups of patients during and after surgery. Results The difference between the two groups was statistically significant (height) (P <0.01, P <0.05). There was no significant difference in operative time between the two groups (P> 0.05). The clinical effect of LTH group was better than that of TAH group. Conclusions When hysterectomy is performed on benign uterine lesions, LTH should be the first choice to improve the clinical effect and promote the recovery of patients.