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目的探讨腹腔镜下子宫次全切除术(LSH)的临床价值。方法选择我院2007年1月-2012年4月子宫次全切除术患者84例,按手术方式不同分为LSH组和腹式子宫次全切除术(ASH)组,每组42例,比较两种术式的术中、术后等情况。结果 LSH组42例中手术成功41例(97.6%),中转开腹1例,两组均无并发症发生。LSH组术后下床时间、肛门排气时间、镇痛泵使用率、术后病率、术后住院日均较少,与ASH组比较,差异有统计学意义(P<0.05)。结论腹腔镜下子宫次全切除术是一种安全、简单、微创的手术方式。
Objective To investigate the clinical value of laparoscopic subtotal hysterectomy (LSH). Methods 84 cases of subtotal hysterectomy in our hospital from January 2007 to April 2012 were divided into LSH group and abdominal hysterectomy group (ASH) according to the operation method, with 42 cases in each group Intraoperative, postoperative and other conditions. Results In 42 cases of LSH group, 41 cases were successful (97.6%), 1 case was converted to open surgery, and no complications occurred in both groups. The time of getting out of bed, the time of anal exhaust, the usage rate of analgesia pump, the postoperative morbidity rate and the postoperative hospitalization days were less in LSH group. Compared with ASH group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic subtotal hysterectomy is a safe, simple and minimally invasive surgical approach.