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目的探讨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 120例子宫切除术患者,按照手术操作方法分为CISH组(腹腔镜下筋膜内子宫切除术)、TVH组(阴式全子宫切除术)、AH组(经腹子宫切除术),比较三组手术效果。结果 CISH组比TVH组、AH组患者出血量减少,手术时间、总出血量、住院时间等均存在明显优势,总花费明显增加,差异有统计学意义(P<0.05);TVH组患者各参考指标明显优于AH组。结论腹腔镜筋膜内全子宫切除术和阴式全子宫切除术相比较经腹子宫切除术在临床中具有更为显著治疗效果,推广应用价值高。
Objective To investigate the clinical effects of total hysterectomy and transabdominal total hysterectomy and vaginal hysterectomy in laparoscopic fascia. Methods 120 cases of hysterectomy patients were divided into CISH group (laparoscopic hysterectomy), TVH group (vaginal hysterectomy), AH group (abdominal hysterectomy), according to the operation method. Three groups of surgical results. Results Compared with TVH group and AH group, the blood loss, operation time, total blood loss and hospital stay in CISH group were significantly higher than those in TVH group. The total cost increased significantly, with significant difference (P <0.05). The TVH group’s reference value Indicators were significantly better than the AH group. Conclusion Laparoscopic total hysterectomy and vaginal hysterectomy compared with abdominal hysterectomy in the clinical have more significant therapeutic effect, the promotion of high value.