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目的:探讨腹腔镜全子宫切除术在临床上的应用。方法:回顾性分析我院278例全子宫切除患者的临床资料,其中腹腔镜全子宫切除术(TLH)140例,经腹子宫切除术(TAH)138例,比较两组术中及术后情况。结果:TLH组出血量少,术后疼痛较轻,肛门排气时间、术后病率、住院时间及使用抗生素时间均短于TAH组,两组比较差异有统计学意义(P<0.05),手术时间差异无统计学意义(P>0.05)。结论:TLH具有损伤小、出血少、痛苦少、术后恢复快等特点,值得在临床推广应用。
Objective: To investigate the clinical application of laparoscopic hysterectomy. Methods: A retrospective analysis of 278 cases of hysterectomy in our hospital clinical data, including laparoscopic total hysterectomy (TLH) in 140 cases, 138 cases of abdominal hysterectomy (TAH), the two groups were compared intraoperative and postoperative . Results: Less blood loss, less postoperative pain, shorter exhaust time, postoperative morbidity, length of hospital stay and time of using antibiotics in TLH group were significantly shorter than those in TAH group (P <0.05) There was no significant difference in operative time (P> 0.05). Conclusion: TLH has the characteristics of less injury, less bleeding, less pain and quick recovery after operation, which is worth popularizing in clinical application.