腹腔镜下全子宫切除与经腹全子宫切除的临床分析

Clinical analysis of laparoscopic total hysterectomy and total abdominal hysterectomy

目的探讨本院开展腹腔镜下全子宫切除术与开腹全子宫切除手术的临床分析。方法选取2016年1月～2017年12月本院收治的108例行全子宫切除的患者为研究对象,选择腹腔镜下全子宫切除术54例分为腹腔镜组,开腹全子宫切除术54例为开腹组,比较两组手术指标和术后恢复情况。结果两组患者手术时间、术中出血量,术后排气时间,住院时间及并发症发生率等指标进行比较,腹腔镜组术中出血量及术后排气时间及住院时间均短于开腹组(P<0.05),并发症发生率也低于开腹组,两组间相比差异有统计学意义(P<0.05)。结论腹腔镜下全子宫全切除术具有微创、术后恢复快、住院时间短,并发症少,安全性高等优点,临床上优于开腹全子宫切除术,但是要注意选择手术指征。

Objective Analysis of lapaxoscopic total hysterectomy and open total hysterectomy in our hospital. Methods 108 cases of total hys- terectomy in our hospital from January 2016 to December 2017 were selected as the subjects. Laparoscopic total hysterectomy was selected as lapa- roscopy group （54 cases） and laparotomy total hysterectomy （54 cases） as open group. The two groups of surgical indexes and postoperative recovery were compared. Results The operation time, the amount of bleeding, the time of postoperative exhaust, the time of hospitalization and the incidence of complications were compared between the two groups. The amount of bleeding in the laparoscopic group, the time of postoperative exhaust and the time of hospitalization were shorter than those in the open group （P〈0.05）, and the incidence of complications was also lower than that in the open group, and the difference between the two groups was poor. The difference is statistically significant（P〈0.05）. Conclusion Laparoscopic total hysterectomy has the advantages of minimally invasive, quick recovery, short hospital stay, less complications and high safety. It is better than laparotomy hysterectomy, but it is necessary to select surgical indications.