腹腔镜下全子宫切除术与经腹全子宫切除术疗效比较

Comparison of Laparoscopic Total Hysterectomy and Total Abdominal Hysterectomy

目的比较经腹全子宫切除术与腹腔镜下全子宫切除术两种手术方式的临床疗效。方法选择2012年6月-2016年6月我院收治的需行全子宫切除术患者23例为观察组,选择同期我院收治的需行全子宫切除术患者21例为对照组,对照组行经腹全子宫切除术,观察组行腹腔镜下全子宫切除术。比较两组手术时间、术中出血量、术后镇痛、术后排气时间及住院天数。结果两组手术时间差异无统计学意义（P〉0.05）,观察组术中出血量较对照组少,术后镇痛率较对照组低,术后排气时间及住院天数均较对照组短,差异均有统计学意义（P〈0.05）。结论腹腔镜下全子宫切除术是一种理想的全子宫切除术式,具有术中出血少、术后恢复快及术后住院时间短等优点。

Objective To compare the clinical effect of two kinds of operation methods of total hysterectomy and laparoscopic total hysterectomy. Methods From June 2012 to June 2016 in our hospital underwent hysterectomy were 23 cases of the observation group, select the same period in our hospital underwent hysterectomy patients 21 cases as control group, the control group underwent abdominal hysterectomy, the observation group underwent laparoscopic hysterectomy. The operation time, blood loss, postoperative analgesia, exhaust time and hospital stay were compared between the two groups. Results The two groups had no statistically significant differences in operative time（P0.05）, intraoperative blood loss in the observation group than in the control group, postoperative analgesia rate was lower than the control group, postoperative exhaust time and hospitalization time were shorter than the control group, the differences were statistically significant（P0.05）. Conclusion Total hysterectomy under laparoscopy is an ideal hysterectomy, which has the advantages of less bleeding, faster postoperative recovery and shorter hospital stay.