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目的 探讨腹腔镜下两种子宫切除术式的临床价值。方法 对腹腔镜下筋膜内子宫切除术(CISH) 68例 ,腹腔镜下辅助阴式子宫切除术 (LAVH) 58例进行回顾性分析。结果 CISH、LAVH两组的手术时间分别为 14 2 18± 51 0 8min、181 81± 46 0 5min ,CISH的手术时间明显少于LAVH(P <0 0 5) ;出血量分别为 13 8 9± 56 48ml、162 0 1± 10 1 0 1ml ,两组之间差异无显著意义 (P >0 0 5) ;术后 3d最高体温分别为 3 7 2 8℃± 0 2 1℃、3 7 76℃± 0 3 1℃ ,CISH组体温低于LAVH组 (P <0 0 5) ;术后平均住院日分别为 8 2 7± 1 79d、9 82± 2 92d ,两组之间差异无显著意义 (P >0 0 5)。结论 两种术式均是安全可行的 ,应根据病人的具体情况选择不同术式
Objective To investigate the clinical value of two kinds of hysterectomy under laparoscopy. Methods 68 cases of laparoscopic fasciotomy (CISH) and 58 cases of laparoscopic assisted vaginal hysterectomy (LAVH) were retrospectively analyzed. Results The operation time of CISH and LAVH groups was 14 2 18 ± 51 0 8min and 181 81 ± 46 0 5min respectively. The operation time of CISH was significantly less than that of LAVH group (P 0 05). The bleeding volume was 13 8 9 ± 56 48ml, 162 0 1 ± 10 1 0 1ml, there was no significant difference between the two groups (P> 0.05); the highest postoperative 3d temperature was 3722 ℃ ± 0 2 1 ℃, 3 7 76 ℃ ± 0 3 1 ℃, the body temperature in CISH group was lower than that in LAVH group (P <0 05), and the average postoperative hospital stay was 8 2 7 ± 1 79d and 9 82 ± 2 92d respectively. There was no significant difference between the two groups P> 0 0 5). Conclusion Both procedures are safe and feasible, and should be based on the specific circumstances of patients choose different surgical