腹腔镜下与传统开腹筋膜内子宫切除术的近期疗效比较

Comparison of short-term curative effects of laparoscopic intrafascial hysterectomy and routine transabdominal intrafascial hysterectomy

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 curative effects of laparoscopic intrafascial hysterectomy and routine transabdominal intrafascial hysterectomy,explore the clinical efficacy of laparoscopic intrafascial hysterectomy. Methods：80 patients receiving routine transabdominal intrafascial hysterectomy and 80 patients receiving laparoscopic intrafascial hysterectomy were selected,the clinical situations of the patients at the time of admission,during and after surgery were compared between the two groups;the clinical situations of the two groups were followed up and compared at three months after surgery. Results：The operation time and the amount of blood loss during operation in laparoscopic intrafascial hysterectomy group were significantly lower than those in routine transabdominal intrafascial hysterectomy group（P0.05）;the postoperative anal exhaust time,recovery time of temperature and hospitalization time in laparoscopic intrafascial hysterectomy group were significantly shorter than those in routine transabdominal intrafascial hysterectomy group（P0.05）;the recovery of the patients in laparoscopic intrafascial hysterectomy group at three months after surgery were better than that in routine transabdominal intrafascial hysterectomy group（P0.05）. Conclusion：Laparoscopic intrafascial hysterectomy is the first choice when conditions permit in clinical treatment of benign uterine lesions for the patients who have to resect utero,the method can improve clinical curative effect and promote recovery of the patients.