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目的探讨腹腔镜与开腹全子宫切除术的临床效果,为临床手术治疗和选择提供参考。方法 94例行全子宫切除术患者,随机分成腹腔镜手术组(48例)和开腹组(46例)。腹腔镜手术组接受腹腔镜全子宫切除术,开腹组接受开腹全子宫切除术,比较两组患者的临床疗效。结果腹腔镜手术组患者的手术出血量、术后排气时间、住院时间均优于开腹组,差异具有统计学意义(t=17.73、8.06、16.19,P<0.05);两组手术时间比较,差异无统计学意义(t=1.25,P>0.05)。术后1个月复查,腹腔镜手术组患者的阴道残端均愈合良好,开腹组有3例阴道残端息肉。结论全子宫切除术使用腹腔镜效果优于开腹,患者术后恢复快,出血量少,住院时间短,值得临床推荐使用。
Objective To investigate the clinical effect of laparoscopic and open hysterectomy for clinical surgical treatment and selection. Methods 94 cases of hysterectomy patients were randomly divided into laparoscopic surgery group (48 cases) and open group (46 cases). Laparoscopic hysterectomy was performed in laparoscopic surgery group, open hysterectomy was performed in laparotomy group, and the clinical efficacy was compared between the two groups. Results The operative bleeding volume, postoperative exhaust time and hospital stay in laparoscopic surgery group were significantly better than those in open group (t = 17.73, 8.06, 16.19, P <0.05). The operative time , The difference was not statistically significant (t = 1.25, P> 0.05). One month after the operation, the vaginal stumps of patients undergoing laparoscopic surgery healed well. There were 3 cases of vaginal stump polyps in the open group. Conclusions Hysterectomy is superior to laparotomy in laparotomy. The patients recovered quickly after operation, with less bleeding and shorter hospital stay, which is worth recommending for clinical use.