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目的:比较腹腔镜下与传统开腹筋膜内子宫切除术(TIH)的近期临床疗效,探讨腹腔镜下筋膜内子宫切除术(CISH)的临床效果。方法:选择CISH患者80例及同期TIH患者80例,比较两组患者入院治疗时术中和术后临床情况,同时随访并比较两组患者术后3个月临床情况。结果:CISH组患者手术时间、术中出血量均少于TIH组(P<0.05);CISH组患者术后排气时间、体温恢复时间及住院天数均短于TIH组(P<0.05);CISH组术后3个月的恢复情况均好于TIH组(P<0.05)。结论:临床治疗子宫良性病变需切除子宫时,在条件允许时应首选CISH,可提高临床疗效,促进患者恢复。
Objective: To compare the short-term clinical efficacy of laparoscopic and traditional intra-abdominal fasciotomy (TIH) and investigate the clinical effect of laparoscopic intrafascial hysterectomy (CISH). Methods: Eighty patients with CISH and 80 patients with TIH during the same period were selected. The intraoperative and postoperative clinical outcomes were compared between the two groups. At the same time, the clinical conditions of the two groups were compared at 3 months after operation. Results: The operation time and intraoperative blood loss in CISH group were less than those in TIH group (P <0.05). CISH group was shorter than TIH group in exhaust time, body temperature recovery and hospitalization days (P <0.05) Group 3 months after the recovery were better than the TIH group (P <0.05). Conclusion: When clinical treatment of uterine benign lesions require removal of the uterus, CISH should be the first choice when conditions permit, which can improve clinical efficacy and promote patient recovery.