腹腔镜下全子宫切除术的临床分析

Clinical Analysis of Laparoscopic Total Hysterectomy

目的:探讨腹腔镜下全子宫切除术的临床价值。方法:回顾分析80例行全子宫切除术患者的临床资料,其中行传统经腹全子宫切除术的42例患者为TAH组,腹腔镜下全子宫切除术的38例患者为LTH组,比较两组手术相关指标。结果:LTH组手术时间、术后排气时间及术后住院时间均优于TAH组,差异均有统计学意义(P<0.05)。两组术中出血量比较差异无统计学意义(P>0.05),两组并发症发生率比较差异无统计学意义(P>0.05)。结论:腹腔镜下全子宫切除术具有损伤少、恢复快等优点,值得临床推广应用,但要严格掌握适应证。

Objective：To explore the clinical value of laparoscopic total hysterectomy.Method：The clinical data of 80 cases of patients with total hysterectomy were retrospectively analyzed.42 patients with total abdominal hysterectomy were selected as the TAH group,while 38 patients with laparoscopic total hysterectomy were selected as the LTH group.The indexes related to the operation were compared between the two groups.Result：The operation time,the anus exhaust time after operation and the hospitalization time after operation in the LTH group were better than those in the TAH group,the differences were statistically significant（P〈0.05）.There were no statistically significant differences between the two groups in the amount of bleeding and the incidence rate of complications（P〉0.05）.Conclusion：LTH has the advantages of less injury,faster recover and so on,which is worth popularizing and applying in clinic,but it needs to strictly grasp the indications.