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目的探讨腹腔镜子宫切除的临床应用价值。方法收集我院腹腔镜筋膜内子宫切除术(CISH组)230例和腹腔镜辅助下阴式子宫切除术(LAVH组)190例患者的临床资料,就术式的选择、并发症和中转开腹的原因进行回顾性分析。结果CISH组和LAVH组患者在手术时间、术中出血量、术后排气时间、住院时间方面经统计学分析差异无统计学意义(P>0.05)。结论腹腔镜子宫切除术具有微创、效优的特点,值得临床推广。根据不同的病情选择合适的手术方式是减少并发症,提高手术安全性的关键。
Objective To investigate the clinical value of laparoscopic hysterectomy. Methods The clinical data of 230 patients undergoing laparoscopic intrafascial hysterectomy (CISH) and 190 patients undergoing laparoscopic assisted vaginal hysterectomy (LAVH) were collected. The clinical data, complications, Retrospective analysis of the causes of the abdomen. Results There was no significant difference between the CISH group and LAVH group in the operation time, intraoperative blood loss, postoperative exhaust time and hospitalization time by statistical analysis (P> 0.05). Conclusion Laparoscopic hysterectomy has the characteristics of minimally invasive and effective, it is worth clinical promotion. According to different conditions to choose the right surgical approach is to reduce complications and improve the safety of surgery.