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目的探讨我院开展腹腔镜全子宫切除术的效果。方法回顾性分析我院2008年10月至2011年10月,腹腔镜全子宫切除术126例(腹腔镜组)和同期行开腹手术108例(开腹手术组)患者的临床资料比较。结果腹腔镜组<12孕周子宫平均手术时间低于相应开腹手术组(P<0.05)。<12孕周子宫腹腔镜组术中平均失血量少于开腹手术组(P<0.05)。开腹手术组出现并发症11例(10.9%),腹腔镜组8例(6.35%),两组比较差异有统计学意义(P<0.05)。腹腔镜组平均住院天数低于开腹手术组(P<0.05),具有统计学意义。结论腹腔镜子宫切除术具有创伤小、术后恢复快,住院时间短等优点,虽然少数术中、术后并发症发生,但随着手术操作技巧的提高,医疗设备的更新,腹腔镜下全子宫切除术可以推广的。
Objective To investigate the effect of laparoscopic hysterectomy in our hospital. Methods The clinical data of 126 cases of laparoscopic hysterectomy (laparoscopic group) and 108 cases of laparotomy (open surgery group) in our hospital from October 2008 to October 2011 were retrospectively analyzed. Results The average operation time of uterus in <12 gestational weeks in laparoscopic group was lower than that in laparotomy group (P <0.05). The mean blood loss during <12 gestational weeks in the laparoscopic hysterectomy group was less than that in the laparotomy group (P <0.05). There were 11 cases (10.9%) in the open surgery group and 8 cases (6.35%) in the laparoscopic group, the difference was statistically significant (P <0.05). The average length of hospital stay in laparoscopic group was lower than that in open surgery group (P <0.05), which was statistically significant. Conclusions Laparoscopic hysterectomy has the advantages of less trauma, quick recovery and shorter hospital stay. Although a few intraoperative and postoperative complications occur, with the improvement of operation skills, the update of medical equipment, laparoscopic Hysterectomy can be generalized.