摘要
目的比较腹腔镜下全子宫切除与经腹全子宫切除的临床效果,为患者选择手术方法提供建议。方法回顾性分析2012年6月~2013年6月本院收治的行全子宫切除术患者100例。根据手术方式将100例患者分组,58例患者行腹腔镜下全子宫切除术为腹腔镜组,42例患者行经腹全子宫切除术为开腹组。比较两组的手术时间、平均住院时间、排气时间、术中出血量和并发症发生情况。结果所有患者手术均获成功,两组的手术时间比较差异无统计学意义（P〉0.05）。腹腔镜组的平均住院时间、排气时间均短于开腹组,术中出血量少于开腹组,差异有统计学意义（P〈0.05）。两组的并发症发生率比较差异无统计学意义（P〉0.05）。结论腹腔镜下全子宫切除术对患者的创伤性小,安全可靠,患者恢复速度快,建议患者首选腹腔镜下全子宫切除术。
Objective To compare the clinical effect of total laparoscopic hysterectomy and trans-abdominal hysterectomy in order to provide suggestions for patients in choosing operation methods. Methods 100 patients underwent panhysterectomy admitted into our hospital from June 2012 to June 2013 were retrospectively analyzed.According to different surgical methods,they were divided into total laparoscopic hysterectomy（n=58,laparoscope group）and trans-abdominal hysterectomy group（n=42,laparotomy group）.The operation time,hospital stay,exhaust time,intraoperative blood loss and complication in the two groups were compared. Results The surgery on all patients were successful.There was no statistical difference in operation time between laparoscope group and laparotomy group（P〉0.05）.The hospital stay,exhaust time in laparoscope group was shorter than that in laparotomy group respectively,intraoperative blood loss in laparoscope group was less than that in laparotomy group,with statistical difference（P〈0.05）.The incidence rate of complication in two groups was compared,with no statistical difference（P〉0.05）. Conclusion Total laparoscopic hysterectomy has advantages of little trauma,safety and reliability and quick recovery,it is suggested for first choice when needed.
出处
《中国当代医药》
2015年第3期77-79,共3页
China Modern Medicine
关键词
腹腔镜
全子宫切除
手术时间
住院时间
Laparoscope
Panhysterectomy
Operation time
Hospital stay
