腹腔镜下子宫全切术与腹式子宫全切术的临床效果比较.docVIP

腹腔镜下子宫全切术与腹式子宫全切术的临床效果比较 　　[摘要] 目的 比较腹腔镜下子宫切除术和腹式子宫全切术的临床效果。方法 选取2012年9月～2015年1月本院收治的102例子宫全切术患者作为研究对象，随机分为实验组和对照组。实验组给予腹腔镜子宫全切术，对照组给予腹式子宫全切术，比较两组的手术时间、术中出血量、排气时间、住院时间、并发症发生率等临床指标。 结果 实验组的手术时间、排气时间、住院时间显著短于对照组，差异有统计学意义（P0.05）。实验组的术中出血量显著少于对照组，差异有统计学意义（P0.05）。实验组的并发症发生率显著低于对照组，差异有统计学意义（P0.05）。 结论 与腹式子宫全切术相比，腹腔镜下子宫全切术具有手术时间短、术中出血量小、手术切口小、术后恢复快、并发症少等优点，值得临床推广应用。 　　[关键词] 腹腔镜；子宫全切术；对比；临床指标；临床价值 　　[中图分类号] R713.4+2 [文献标识码] A [文章编号] 1674-4721（2015）09（a）-0100-03 　　[Abstract] Objective To compare the clinical effect between laparoscopic total hysterectomy and abdominal hysterectomy. Methods 102 cases with total hysterectomy from September 2012 to January 2015 in our hospital were selected and randomly divided into the experimental group and the control group.The experimental group was treated with laparoscopic total hysterectomy，the control group was treated with abdominal hysterectomy.The duration of operation，intraoperative blood loss，exsufflation time，length of hospital stay，the incidence rate of complication in two groups was compared respectively. Results The duration of operation，exsufflation time and length of hospital stay in the experimental group was shorter than that in the control group，with significant difference（P0.05）.The amount of intraoperative blood loss in the experimental group was less than that in the control group，with significant difference（P0.05）.The ncidence rate of complication in the experimental group was lower than that in the control group，with significant difference（P0.05）. Conclusion Compared with abdominal hysterectomy，the laparoscopic total hysterectomy has many advantages，such as shorter operation time，less intraoperative blood loss，rapid postoperative recovery and few complications，it is worthy of clinical promotion and application. 　　[Key words] Laparoscope；Total hysterectomy；Comparison；Clinical index；Clinical value 　　子宫全切术是临床诊疗工作中十分常见的妇科手术，手术的原因复杂多样。一般来说，子宫切除术的主要操作方法有腹式全切术、阴式全切术和腹腔镜全切术。开腹手术具有手术时间长、创伤大、出血量多、恢复速度慢等缺点，给患者的身心带来沉重压力