腹腔镜下全子宫切除术与经腹全子宫切除术临床疗效对比

Comparison of Clinical Efficacy of Laparoscopic Total Hysterectomy and Abdominal Total Hysterectomy

目的比较腹腔镜下全子宫切除术与经腹全子宫切除术的临床疗效。方法选取本院2014年3月—2017年9月收治的104例全子宫切除患者进行研究,随机分为对照组52例(行经腹全子宫切除术)和观察组52例(行腹腔镜下全子宫切除术),比较两组的术中出血量、手术时间、术后排气时间、术后下床活动时间、住院时间、切口感染率、毗邻脏器损伤率(包括输尿管、膀胱、肠管损伤)等指标。结果观察组在术中出血量、术后排气时间、术后下床活动时间以及住院时间方面均要优于对照组,切口感染率明显低于对照组,差异有统计学意义(P<0.05),手术时间及毗邻脏器损伤率差异不大(P>0.05)。结论腹腔镜下全子宫切除术的临床疗效优于经腹全子宫切除术。

Objective To compare the clinical effect of laparoscopic total hysterectomy and abdominal total hysterectomy. Methods A total of 104 cases of hysterectomy patients admitted to our hospital from March 2014 to Sptember 2017 were randomly divided into control group(52 cases underwent total abdominal hysterectomy in 52 cases)and observation group(laparoscopic hysterectomy). Intraoperative bleeding volume,operation time,the postoperative exhaust time,postoperative ambulation time,hospitalization time,incision infection rate,viscera injury rate(including ureter,bladder and bowel injury index)were compared between two groups. Results In the observation group,intraoperative bleeding volume,postoperative exhaust time,postoperative ambulation time and hospitalization time was better than the control group,the incision infection rate was significantly lower than the control group,the difference was statistically significant(P<0.05),but there were no difference in th the operation time and adjacent organ injury rate(P>0.05). Conclusion The clinical effect of laparoscopic total hysterectomy is better than that of abdominal total hysterectomy.