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目的比较腹腔镜全子宫切除术(TLH)和开腹全子宫切除术(TAH)的临床效果。方法回顾性分析50例TLH和50例TAH的临床资料,对照分析两种术式的手术时间、术中出血量、术后肠道功能恢复时间、术后导尿时间及术后住院时间。结果 TLH组与TAH组比较,手术时间较短、术中出血量较少、术后肠道功能恢复时间较短、术后导尿时间及术后住院时间较短(P均<0.01)。结论 TLH具有微创、术中出血少、术后恢复快等优点,是一种理想的全子宫切除术式。
Objective To compare the clinical effects of laparoscopic total hysterectomy (TLH) and open hysterectomy (TAH). Methods The clinical data of 50 cases of TLH and 50 cases of TAH were retrospectively analyzed. The operation time, intraoperative blood loss, postoperative intestinal function recovery time, postoperative catheterization time and postoperative hospital stay were analyzed. Results Compared with TAH group, TLH group had shorter operation time, less intraoperative blood loss, shorter postoperative intestinal function recovery time, shorter postoperative catheterization time and shorter postoperative hospital stay (all P <0.01). Conclusion TLH has the advantages of minimally invasive, less intraoperative bleeding, faster recovery after surgery, which is an ideal hysterectomy.