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目的比较腹腔镜下全子宫切除术与经腹全子宫切除术的治疗效果。方法选取行全子宫切除的患者70例,按手术方式分为腹腔镜下全子宫切除术(腹腔镜组,35例)和经腹全子宫切除术(经腹组,35例),比较两组患者的术中情况及术后恢复情况。结果腹腔镜组在手术时间、术中出血量、术后通气时间、术后住院天数方面均优于经腹组,差异均有统计学意义(P<0.05)。结论腹腔镜辅助下全子宫切除术较传统经腹手术具有手术创伤小、术中出血少、术后恢复快等特点,安全性高,临床优势显著。
Objective To compare the effects of laparoscopic hysterectomy and abdominal hysterectomy. Methods Seventy patients undergoing total hysterectomy were divided into three groups: laparoscopic total hysterectomy (laparoscopic group, 35 cases) and transabdominal hysterectomy (abdominal group, 35 cases) The patient’s intraoperative situation and postoperative recovery. Results The laparoscopic group was superior to the transabdominal group in operation time, intraoperative blood loss, postoperative ventilation time and postoperative hospital stay, the differences were statistically significant (P <0.05). Conclusions Laparoscopic assisted hysterectomy has the advantages of less trauma, less intraoperative bleeding and faster postoperative recovery than traditional transabdominal surgery. It is safe and has obvious clinical advantages.