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目的探讨应用腹腔镜下改良全子宫切除术(MLH)的安全性及效果。方法分析30例行MLH的特点、子宫大小、手术时间、出血量、并发症等,并与同期30例腹腔镜全子宫切除术(TLH)进行比较。结果两组子宫大小分别相当于妊娠(10.4±0.7)周和(12.3±0.8)周;平均出血量分别为(154.6±32.5)ml和(85.5±40.2)ml,差异有统计学意义(P<0.05),手术平均时间分别为(110.5±14.2)min和(92.5±16.3)min,差异有统计学意义(P<0.05);术后住院天数分别为6.4d和6.9d,差异无统计学意义。结论 MLH的创伤小,术后并发症少,恢复快,但要求手术者有一定的临床经验。
Objective To investigate the safety and efficacy of laparoscopic modified hysterectomy (MLH). Methods The characteristics of MLH, the size of uterus, the operation time, the amount of bleeding and complications were analyzed in 30 cases and compared with 30 cases of total hysterectomy (TLH) during the same period. Results The average uterine size of the two groups were respectively (10.4 ± 0.7) weeks and (12.3 ± 0.8) weeks. The average amount of bleeding was (154.6 ± 32.5) ml and (85.5 ± 40.2) ml respectively, with statistical significance (P < 0.05). The mean operative time was (110.5 ± 14.2) min and (92.5 ± 16.3) min, respectively, with significant difference (P <0.05). The postoperative hospitalization days were 6.4 and 6.9 days, respectively, with no significant difference . Conclusion MLH trauma, less postoperative complications, rapid recovery, but require surgery have some clinical experience.