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目的:对比研究腹腔镜下全子宫切除术与开腹全子宫切除术的临床疗效。方法:选择安徽省六安市舒城县人民医院2015年5月至2016年6月期间行腹腔镜下全子宫切除术的34例患者作为观察组,选择同期行开腹全子宫切除术的34例患者作为对照组。比较两组手术时间、术中出血量、肛门排气时间、住院时间以及并发症发生率。结果:两组手术时间、并发症发生率对比不具有统计学意义(P>0.05);观察组术中出血量、肛门排气时间、住院时间均优于对照组(P<0.01)。结论:相较于传统开腹全子宫切除术,腹腔镜下全子宫切除术具有术中出血量少、肛门首次排气时间短以及住院时间短的优势,对患者预后具有重要的促进作用。
Objective: To compare the clinical efficacy of laparoscopic total hysterectomy and open hysterectomy. Methods: Thirty-four patients underwent laparoscopic hysterectomy from May 2015 to June 2016 in Shucheng People’s Hospital of Lu’an, Anhui Province were selected as the observation group, and underwent open hysterectomy for the same period. Cases of patients as a control group. The operation time, intraoperative blood loss, anal exhaust time, hospitalization time and complication rate were compared between the two groups. Results: There was no significant difference in operative time and complication incidence between the two groups (P> 0.05). The intraoperative blood loss, anal exhaust time and hospital stay in the observation group were all better than those in the control group (P <0.01). Conclusion: Compared with traditional open hysterectomy, laparoscopic hysterectomy has the advantages of less intraoperative blood loss, shorter anus first discharge time and shorter hospital stay, which has an important role in promoting the prognosis of patients.