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目的探讨腹腔镜筋膜内子宫切除术的临床疗效。方法将62例因子宫良性疾病需行子宫切除患者随机分为两组。研究组31例采用腹镜筋膜内子宫全切除术(CISH),对照组31例采用传统腹式子宫全切除术(TAH),比较两组术中、术后情况。结果研究组成功29例,对照组均成功,两组年龄、体重、手术时间比较差异无统计学意义(P<0.05),两组术中出血量、术后成功率、术后恢复、术后住院日、术后排气时间差异有统计学意义(P<0.05),两组均无并发症发生。结论腹镜筋膜内子宫切除术具并病发症低、恢复快等优点。经过手术技术改良能顺利行大小子宫切除术,是一种较理想的手术方式,适于临床应用推广。
Objective To investigate the clinical efficacy of laparoscopic intrafascial hysterectomy. Methods 62 patients with benign uterine disease due to hysterectomy were randomly divided into two groups. In the study group, 31 cases underwent cystectomy with complete resection of the hysterectomy (CISH) in the fascia and 31 cases in the control group underwent traditional abdominal hysterectomy (TAH). The intraoperative and postoperative conditions were compared between the two groups. Results The success of the study group was 29 cases, the control group were successful, there was no significant difference between the two groups in age, weight, operation time (P <0.05), the two groups of intraoperative blood loss, postoperative success rate, postoperative recovery, postoperative The days of hospitalization and postoperative exhaust time were significantly different (P <0.05). No complications occurred in both groups. Conclusion The intrafascial fascia hysterectomy has the advantages of low incidence of disease and rapid recovery. After surgical techniques to improve the size of hysterectomy, is a more ideal surgical approach, suitable for clinical application.