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目的探讨腹腔镜全子宫切除术(LTH)的临床价值。方法回顾分析510例因子宫良性疾病行全子宫切除术患者的临床资料,根据手术方式分为2组:经腹子宫全切除术组(TAH组)244例,LTH组266例,比较2组的手术效果。结果 TAH组手术时间明显长于LTH组(P<0.01),TAH组术中出血明显多于LTH组(P<0.01),TAH组术后恢复时间(肛门排气时间、下床活动时间、术后住院时间、恢复性生活时间、恢复工作时间)明显长于LTH组(P<0.01)。结论 LTH具有创伤小、出血少、手术时间短、康复快、住院时间短等优点,是一种安全可靠的手术。
Objective To investigate the clinical value of laparoscopic total hysterectomy (LTH). Methods The clinical data of 510 patients with benign uterine disease underwent hysterectomy were retrospectively analyzed. According to the surgical procedure, the patients were divided into two groups: 244 cases of TAH group, 266 cases of LTH group, Surgical effect. Results The operation time in TAH group was significantly longer than that in LTH group (P <0.01), and the bleeding rate in TAH group was significantly more than that in LTH group (P <0.01). The recovery time of TAH group (anal exhaust time, ambulation time, Hospital stay, restorative life time, recovery time) was significantly longer than LTH group (P <0.01). Conclusion LTH has the advantages of less trauma, less bleeding, shorter operation time, quick recovery and shorter hospital stay, which is a safe and reliable operation.