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目的对比腹腔镜与腹式全子宫切除术的临床疗效,研究腹腔镜下行全子宫切除术的优点。方法资料随机选自2013年6-12月该院108例行子宫切除术的患者按照数字表法随机分为研究组和对照组两组,每组各54例;对照组予以传统腹式全子宫切除术治疗,研究组采用腹腔镜辅助下全子宫切除术,对两组患者围手术期、住院期间恢复情况以及术后并发症的发生情况进行观察比较。结果研究组围手术期的手术时间、术中出血量以及术后住院期间疼痛时间、肛门排气恢复时间和术后并发症情况均明显优于对照组,组间比较差异均具有统计学意义(P<0.05);其中两组患者住院时间比较无明显差异(P>0.05)。结论腹腔镜下全子宫切除术对患者身体损伤较小,围手术期间出血少且术后并发症出现情况良好,值得临床推广应用。
Objective To compare the clinical efficacy of laparoscopic and abdominal hysterectomy and study the advantages of laparoscopic radical hysterectomy. Methods Data were randomly selected from 108 patients undergoing hysterectomy in the hospital from June to December in 2013. The patients were randomly divided into study group and control group according to the digital table method, with 54 cases in each group. The control group received conventional abdominal full uterus Resection and treatment, the study group laparoscopic assisted hysterectomy, the two groups of patients during perioperative recovery during hospitalization and postoperative complications were observed and compared. Results During the perioperative period, the operation time, intraoperative blood loss, postoperative pain time, anal exhaust recovery time and postoperative complications in the study group were significantly better than those in the control group. The difference between the two groups was statistically significant ( P <0.05). There was no significant difference in hospitalization time between the two groups (P> 0.05). Conclusions Laparoscopic hysterectomy has less physical damage to the patient, less bleeding during perioperative period and good postoperative complications. It is worthy of clinical application.