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目的探讨腹腔镜下子宫全切术(TLH)的手术要点及临床价值。方法对诊断为子宫肌瘤(28例)、子宫腺肌症(10例)及功能失调性子宫出血(2例)的患者(TLH组,n=40)行TLH,40例同期行腹式子宫全切除术(TAH)的患者为TAH组。比较2组患者的手术时间、术中出血量、术后肛门排气时间、术后住院天数及术后恢复正常工作的时间。结果2组患者手术时间比较无显著差异(P>0.05);2组患者术中出血量、术后肛门排气时间、术后住院天数、术后恢复正常工作时间比较,TLH组均明显少于TAH组(P<0.01);2组均未发现手术并发症。结论对符合手术条件的患者,腹腔镜下子宫全切术安全、可靠。
Objective To investigate the operative points and clinical value of laparoscopic total hysterectomy (TLH). Methods Twenty-four patients with TLH (40 cases) were diagnosed as uterine myoma (28 cases), adenomyosis (10 cases) and dysfunctional uterine bleeding (2 cases) Total hysterectomy (TAH) in patients with TAH group. The operation time, intraoperative blood loss, postoperative anal exhaust time, postoperative hospital stay and the time to resume normal operation were compared between the two groups. Results There was no significant difference in operative time between the two groups (P> 0.05). The blood loss, anal exhaust time, postoperative hospital stay and the normal working hours after operation in the two groups were significantly less than those in the TLH group TAH group (P <0.01). No complications were found in the two groups. Conclusion For patients who meet the surgical conditions, laparoscopic hysterectomy is safe and reliable.