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目的研究腹腔镜鞘膜(筋膜)内子宫切除术的临床价值。方法将2006年1月~2007年12月符合条件的患者30例行腹腔镜鞘膜内子宫切除术与同期行经腹子宫切除术的30例患者进行对比研究,分析其在手术时间、术中出血量、住院时间、术后排气时间、保留尿管时间及术后病率等方面有无差异。结果腹腔镜筋膜内子宫切除术与经腹子宫切除术手术时间、术后病率方面差异无统计学意义,但在术中出血量、住院时间、术后排气时间、保留尿管时间方面,腹腔镜组均优于开腹组。结论腹腔镜鞘膜内子宫切除术创伤小、出血少、术后恢复快、住院时间短,值得临床推广。
Objective To study the clinical value of laparoscopic sheath (fascia) hysterectomy. Methods Thirty patients undergoing laparoscopic sheath hysterectomy between January 2006 and December 2007 were compared with 30 patients who underwent abdominal hysterectomy in the same period.All patients underwent operation at the time of operation and intraoperative bleeding Volume, hospital stay, postoperative exhaust time, catheter retention time and postoperative morbidity and other aspects are there any differences. Results There were no significant differences in operative time and postoperative morbidity between laparoscopic intrafascial hysterectomy and abdominal hysterectomy. However, there was no significant difference in intraoperative and intracapsular hemorrhage, hospitalization time, postoperative exhaust time and catheter retention , Laparoscopic group were better than the open group. Conclusions Laparoscopic sheath hysterectomy trauma, less bleeding, fast recovery, shorter hospital stay, worthy of clinical promotion.