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目的:比较腹腔镜和腹式大子宫全切除术的手术时间、术中出血量和术后病率,探讨腹腔镜下大子宫切除术的安全性和可行性。方法:回顾分析该院2007年1月～2010年1月大子宫切除术300例的临床资料,其中开腹150例,腹腔镜150例,对比分析两种术式术中、术后各项参数。结果:腹腔镜组手术时间长于开腹组,差异有统计学意义(P<0.05),术中出血量明显少于开腹组,差异有统计学意义(P<0.05),腹腔镜组术后肛门排气时间、术后病率明显低于开腹组,差异有统计学意义(P<0.01)。结论:改良后的腹腔镜下大子宫全切术是安全可行的,该术式微创,对腹腔干扰小,术后病率低。
Objective: To compare laparoscopic and abdominal hysterectomy operation time, blood loss and postoperative morbidity, to explore the safety and feasibility of laparoscopic hysterectomy. Methods: The clinical data of 300 cases of hysterectomy in our hospital from January 2007 to January 2010 were retrospectively analyzed. Among them, 150 cases were laparotomy and 150 cases were laparoscopy. The intraoperative and postoperative parameters . Results: The operation time of laparoscopic group was longer than that of open group, the difference was statistically significant (P <0.05), the amount of bleeding during operation was less than that of laparotomy group (P <0.05) Anal exhaust time, postoperative morbidity was significantly lower than the open group, the difference was statistically significant (P <0.01). Conclusion: The modified laparoscopic hysterectomy is safe and feasible. The minimally invasive surgical procedure has less interference on the abdominal cavity and low postoperative morbidity.