腹腔镜下全子宫切除术与阴式全子宫切除术100例临床效果对比观察

目的观察对比腹腔镜下全子宫切除术与阴式全子宫切除术的临床效果。方法选取2009-2011年收治的100例行全子宫切除术的患者,随机分为甲组58例和乙组42例。甲组采用腹腔镜下全子宫切除术,乙组行阴式全子宫切除术。比较两组手术时间、术中出血量、术后肛门首次排气时间、镇痛率及术后住院时间。结果甲组手术时间显著长于乙组,差异有统计学意义(P<0.05),而术中出血量、术后肛门首次排气时间及术后住院时间均低于乙组,差异有统计学意义(P<0.05)。结论腹腔镜下全子宫切除术创伤小、出血少、恢复时间短,值得临床借鉴。

Objective To observe the contrast clinical effect of laparoscopic hysterectomy and vaginal hysterectomy. Methods Collected 100 patients in the hospital from 2009 to 2011 who took hysterectomy were randomly divided into Group A （58 cases） and B （42 cases）. Group A took laparoscopic hysterectomy while Group B took line vaginal hysterectomy. Comparing the operative time, blood loss, postoperative anal first exhaust analgesic rate and postoperative hospital stay of two groups. Results The operative time of group A was significantly longer than Group B, the difference was statistically significant （P〈0.05）. The blood loss, first anal exhaust time and postoperative hospital stay were lower than those of Group B, the difference was statistically significant （P 〈0.05）. Conclusion Laparoscopic hysterectomy, with a lower level of trauma, less bleeding and shorter recovery time, is worthy of draw.