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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子宫切除术的疗效对比。方法:2010年5月~2013年5月期间,我院实施的40例腹腔镜筋膜内全子宫切除术(CISH)、40例经腹全子宫切除术(AH)、40例阴式子宫切除术(VH),对3组手术时间、出血量、术后下床时间、住院时间,进行观察和比较。结果:与AH、VH相比,CISH的手术时间、术中出血量均明显减少,术后下床时间、住院时间均明显缩短,P<0.05,差异有统计学意义。结论:腹腔镜筋膜内全子宫切除术具有创伤小、恢复快等特点,值得临床推广。
Objective: To compare the efficacy of laparoscopic total hysterectomy and transabdominal hysterectomy and vaginal hysterectomy. Methods: From May 2010 to May 2013, 40 cases underwent total laparoscopic total hysterectomy (CISH), 40 cases underwent total hysterectomy (AH) and 40 cases underwent vaginal hysterectomy (VH). The operation time, blood loss, time to get out of bed and length of hospital stay after operation were observed and compared. Results: Compared with AH and VH, the operation time and intraoperative blood loss of CISH were significantly decreased, and the time to get out of bed and hospital stay were significantly shorter (P <0.05). The difference was statistically significant. Conclusion: Laparoscopic total hysterectomy with less trauma and rapid recovery, worthy of clinical promotion.