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目的比较腹腔镜筋膜内、经腹及阴式三种全子宫切除术的临床疗效。方法回顾性分析本院2005—2013年收治的腹腔镜筋膜内全子宫切除术(LISH)、经腹全子宫切除术(AH)及阴式全子宫切除术(TVH)患者资料,分析三组患者术后的并发症,比较三种全子宫切除术治疗效果的差异。结果经过统计分析,LISH组患者在术中出血量最少,手术时间最短,住院时间最短,术后恢复较另外两组快,明显减轻疼痛。各项比较都差异均具有统计学差异(P<0.05)。结论与经腹全子宫切除术及阴式全子宫切除术相比,腹腔镜筋膜内全子宫切除术具有恢复快、创伤小等优势,其治疗效果更佳,值得临床推广使用。
Objective To compare the clinical efficacy of three kinds of hysterectomy in laparoscopic intrafascial, transabdominal and vaginal. Methods The clinical data of patients undergoing laparoscopic total hysterectomy (LISH), total hysterectomy (AH) and vaginal hysterectomy (TVH) were analyzed retrospectively in our hospital from 2005 to 2013. Three groups Patients with postoperative complications, the three hysterectomy compared the effect of treatment. Results After statistical analysis, patients in LISH group had the least amount of blood loss, the shortest operation time, the shortest hospitalization time and the faster postoperative recovery than the other two groups, which obviously relieved the pain. All the differences were statistically significant (P <0.05). Conclusion Compared with transabdominal total hysterectomy and vaginal hysterectomy, laparoscopic total hysterectomy has the advantages of rapid recovery and small trauma. The treatment is more effective and worthy of clinical application.