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目的探讨经腹筋膜内全子宫切除术的临床效果。方法将我院2009~2011年间收治的96例子宫良性病变患者随机分为观察组和对照组,每组各48例,对照组患者采取传统开腹全子宫切除术治疗,观察组患者采取经腹筋膜内全子宫切除术治疗,比较两组患者的临床疗效。结果观察组患者的手术时间、术中出血量、术后排气时间以及住院天数均少于对照组,组间差异有统计学意义(P<0.05)。观察组患者术后并发症发生率为8.3%,显著低于对照组的27.1%,组间差异有统计学意义(P<0.05)。结论采用经腹筋膜内全子宫切除术治疗子宫良性病变临床疗效确切,术后并发症发生率较低,是一种安全有效的手术方法,值得临床进一步推广使用。
Objective To investigate the clinical effect of intra-abdominal total hysterectomy. Methods A total of 96 cases of benign uterine lesions treated in our hospital from 2009 to 2011 were randomly divided into observation group and control group, with 48 cases in each group. The patients in control group were treated by traditional open hysterectomy. Membrane hysterectomy treatment, the clinical efficacy of two groups were compared. Results The operation time, intraoperative blood loss, postoperative exhaust time and hospitalization days in the observation group were all less than those in the control group. There was significant difference between the two groups (P <0.05). The incidence of postoperative complications in the observation group was 8.3%, which was significantly lower than that in the control group (27.1%). The difference between the two groups was statistically significant (P <0.05). Conclusion It is a safe and effective surgical method to treat benign uterine lesions by intra-abdominal total hysterectomy. The incidence of postoperative complications is low. It is worth further clinical application.