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目的:比较腹腔镜筋膜内子宫切除术与开腹子宫切除术的临床效果。方法:取同时期同组医师实施的,术前一般情况差异无统计学意义的腹腔镜筋膜内子宫切除术(CISH)62例和开腹子宫切除术(AH)60例患者,比较2组手术时间、术中出血量、术后发热率、术后住院时间、排气时间、术后疼痛及抗生素应用时间等指标。结果:CISH组与AH组比较,术后住院时间短、发热率低、抗生素使用时间短、排气时间短(均P<0.01),术中出血量少(P<0.01),手术时间长(P<0.01)。结论:腹腔镜筋膜内子宫切除术具有创伤小、出血少、恢复快、住院时间短等优点,值得推广应用。
Objective: To compare the clinical effects of laparoscopic intrafascial hysterectomy and open hysterectomy. Methods: Sixty-two patients undergoing laparoscopic intrafacial hysterectomy (CISH) and 60 patients undergoing open hysterectomy (AH) underwent no significant difference in the general preoperative condition were compared between the two groups Operation time, intraoperative blood loss, postoperative fever, postoperative hospital stay, exhaust time, postoperative pain and antibiotic application time and other indicators. Results: Compared with AH group, CISH group had shorter postoperative hospital stay, lower fever rate, shorter antibiotic use time, shorter exhaust time (all P <0.01), less intraoperative blood loss (P <0.01), longer operation time P <0.01). Conclusion: Laparoscopic intrafascial hysterectomy has the advantages of less trauma, less bleeding, faster recovery and shorter hospital stay, which is worth popularizing and applying.