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目的对比分析腹腔镜筋膜内全子宫切除术与经腹全子宫切除术及阴式全子宫切除术的临床效果。方法选取2009年4月-2011年4月郑州市第一人民医院收治的90例妇科疾病患者为研究对象,其中,30例行腹腔镜筋膜内全子宫切除术(A组),30例行经腹全子宫切除术(B组),30例行阴式全子宫切除术(C组)。对比三组患者术前、术中和术后情况及并发症发生率。结果与B组和C组患者相比,A组患者手术时间短,术中出血量少,术后体温恢复较快、肛门排气早、疼痛明显减轻、住院时间短。对比差异具有统计学意义(P<0.05)。结论腹腔镜筋膜内全子宫切除术手术创伤小,术后恢复快,极大地缩短住院时间,是一种安全的手术方式,值得临床推广和应用。
Objective To compare and analyze the clinical effects of total hysterectomy and transabdominal total hysterectomy and vaginal hysterectomy in laparoscopic fascia. Methods 90 cases of gynecological diseases admitted from the First People’s Hospital of Zhengzhou City from April 2009 to April 2011 were selected as the research objects. Among them, 30 cases underwent laparoscopic total hysterectomy (group A) and 30 cases Transabdominal hysterectomy (group B), 30 patients underwent vaginal hysterectomy (group C). Preoperative, intraoperative and postoperative complications and complication rates were compared between the three groups. Results Compared with patients in group B and group C, patients in group A had shorter operation time, less intraoperative blood loss, faster recovery of postoperative body temperature, earlier discharge of anus, pain relief and shorter hospital stay. The differences were statistically significant (P <0.05). Conclusion Laparoscopic total hysterectomy hysterectomy surgical trauma, postoperative recovery fast, greatly reducing hospital stay, is a safe surgical method, it is worth clinical promotion and application.