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目的对腹腔镜筋膜内全子宫切除术(CISH)和经腹全子宫切除术(AH)以及阴式全宫切除术(TVH)的临床治疗效果进行探讨分析。方法 150例行子宫切除术的患者,将其随机分为A、B、C三组,每组50例。A组给予CISH治疗,B组给予TVH治疗,C组给予AH治疗,治疗后,对比治疗效果。结果 A组患者的手术治疗时间、住院时间、肛门排气时间以及术中出血量与B组和C组对比,差异均具有统计学意义(P<0.05);A组患者的术后并发症率明显低于B组和C组,差异有统计学意义(P<0.05)。结论与TVH、AH相比,CISH能够明显缩短治疗时间和住院时间,降低并发症发生率,可在临床中广泛推广。
Objective To investigate the clinical effects of laparoscopic total hysterectomy (CISH) and transabdominal total hysterectomy (AH) and vaginal hysterectomy (TVH). Methods 150 cases of hysterectomy patients were randomly divided into three groups A, B, C, 50 cases in each group. A group was given CISH treatment, B group was given TVH treatment, C group was given AH treatment, after treatment, the effect of treatment was compared. Results The operation time, hospitalization time, anal exhaust time and intraoperative blood loss in group A were significantly different from those in group B and C (P <0.05). The postoperative complication rate in group A Which was significantly lower than that in group B and C (P <0.05). Conclusion Compared with TVH and AH, CISH can shorten the treatment time and hospitalization time significantly and reduce the incidence of complications. It can be widely used clinically.