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目的:通过比较腹腔镜筋膜内子宫切除术(C ISH)与阴式子宫切除术(VH),以选择最佳手术方式。方法:回顾性分析CISH及VH病例88例,比较两种手术在手术时间、术中出血量、术后病率、术后肛门排气时间、住院天数方面的差异。结果:两组手术在手术时间、术中出血量、术后病率、术后肛门排气时间、住院天数方面均有显著差异。结论:CISH创伤小,出血少,术后恢复快,并发症少,适应症广泛,优于VH。
OBJECTIVE: To compare the results of laparoscopic intrafascial hysterectomy (C ISH) and vaginal hysterectomy (VH) to choose the best surgical method. Methods: A total of 88 CISH and VH cases were retrospectively analyzed. The differences of operation time, intraoperative blood loss, postoperative morbidity, postoperative anal exhaust time and hospitalization days were compared. Results: The operation time, intraoperative blood loss, postoperative morbidity, postoperative anal exhaust time, hospitalization days were significantly different between the two groups. Conclusion: CISH has less trauma, less bleeding and quick recovery after operation. It has fewer complications and more indications than VH.