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目的:分析腹腔镜筋膜内全子宫切除术(CISH)的临床特点及价值。方法:选择2008年1月～2010年12月行腹腔镜筋膜内全子宫切除术(CISH)的患者60例,同时选择资料齐全的经腹全子宫切除术(AH)患者70例及阴式全子宫切除术(VH)患者50例作为对照组,比较3组患者术中、术后情况以及并发症的发生情况。结果:CISH组与AH组及VH组比较,术中出血量少,手术时间短,术后下床早,术后肛门排气早,术后住院时间短,术后体温恢复正常时间短,术后出现感染、排尿排便异常、腰腹部疼痛少(P<0.05)。结论:腹腔镜筋膜内全子宫切除术具有创伤小、恢复快等优势,能够缩短患者住院时间,较为安全、可靠。
Objective: To analyze the clinical features and value of total hysterectomy (CISH) in laparoscopic fascia. Methods: Sixty patients undergoing laparoscopic total hysterectomy (CISH) from January 2008 to December 2010 were enrolled in this study. Seventy patients with complete hysterectomies (AH) Fifty patients underwent total hysterectomy (VH) as control group. The intraoperative, postoperative and complications of the three groups were compared. Results: Compared with AH group and VH group, CISH group had less intraoperative blood loss, shorter operation time, early after operation, shorter anus exhaust after operation, shorter postoperative hospital stay, shorter postoperative body temperature recovery time, After infection, abnormal urination and defecation, less pain in the waist and abdomen (P <0.05). Conclusion: Laparoscopic total hysterectomy with less trauma, faster recovery and other advantages, can shorten the hospital stay of patients, more safe and reliable.