腹腔镜下子宫全切术42例临床分析

目的探讨腹腔镜下子宫全切除术(TLH)的临床效果。方法回顾性研究分析2006年6月～2009年6月因子宫良性病变行子宫全切除术的86例患者的临床资料,其中TLH组42例,TAH(经腹子宫全切除术)组44例,观察手术时间、术中出血量、术后肛门排气时间、术后住院天数、手术并发症、术后恢复正常工作时间等。结果两组患者除手术时间比较无显著性差异(P>0.05)外,其他观察指标比较TLH组均明显少于TAH组(P<0.05)。结论 TLH安全可靠,失血量少,住院时间短,恢复快,并发症发生率低,是治疗子宫良性病变的一种很好的术式。

Objective To evaluatethe the clinical effects of laparoscopic hysterectomy（TLH）.Methods From June 2006 1 to June 2009,do research and analysis of 86 patients who were performed Hysterectomy due to benign uterine lesions,of which TLH group of 42 cases and TAH（total abdominal hysterectomy） Section 44 cases.Observe the operation time,blood loss,postoperative anal exhaust time,postoperative hospital stay,surgical complications,normal postoperative recovery.Results Only operative time showed no significant difference between two groups（P0.05）.As to Other observed indicators,TLH group was significantly less than the TAH group（P0.05）.Conclusion TLH is a safe and reliable method：Less blood loss,short hospital stay,quick recovery and low rate of complications.It is a good treatment of benign uterine lesions.