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目的探讨腹腔镜筋膜内子宫切除术和开腹子宫切除术的临床效果。方法对同时期同组医生实施的、术前一般情况无统计学差异的腹腔镜筋膜内子宫切除术43例(腔镜组)和开腹子宫切除术43例(开腹组)进行回顾性分析,对照分析两组手术及术后情况。结果腔镜组与开腹组比较,虽手术时间长(P<0.01),但术中出血量、术后肠道功能恢复时间、术后导尿时间及术后住院时间等指标均优于开腹组(P<0.05或P<0.01)。结论腹腔镜筋膜内子宫切除具有术中出血少、术后恢复快等优点,值得临床推广应用。
Objective To investigate the clinical effects of laparoscopic intrafascial hysterectomy and open hysterectomy. Methods Retrospectively, 43 cases of laparoscopic intrafascial hysterectomy (laparoscopic group) and 43 cases of open hysterectomy (laparotomy group) were performed retrospectively Analysis, control analysis of two groups of surgery and postoperative conditions. Results Compared with the open group, the operation time was longer (P <0.01), but the intraoperative blood loss, postoperative intestinal function recovery time, postoperative catheterization time and postoperative hospital stay indicators were better than open Abdominal group (P <0.05 or P <0.01). Conclusion Laparoscopic intrafascial hysterectomy has the advantages of less intraoperative bleeding and faster recovery after operation, which is worthy of clinical application.