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目的:比较腹腔镜筋膜内子宫切除术(CISH)与经腹全子宫切除术(TAH)的效果。方法:回顾性分析CISH、TAH各60例,比较两组术中、术后情况。结果:手术时间两组无统计学意义,术中出血量、术后排气时间、下床活动时间、住院时间、恢复日常活动时间CISH组显著少于TAH组,两组比较有统计学意义。结论:腹腔镜筋膜内子宫切除术具有创伤小、出血少、术后恢复快,是理想的治疗子宫良性病变的手术方法。
Objective: To compare the effectiveness of laparoscopic intrafascial hysterectomy (CISH) and transabdominal total hysterectomy (TAH). Methods: Sixty cases of CISH and TAH were retrospectively analyzed. The intraoperative and postoperative conditions were compared between the two groups. Results: There was no significant difference in operative time between the two groups. The amount of blood loss, postoperative exhaust time, ambulation time, hospital stay, and daily activity recovery time were significantly less in CISH group than in TAH group. There was significant difference between the two groups. Conclusion: Laparoscopic intrafascial hysterectomy with less trauma, less bleeding, rapid recovery after surgery, is the ideal surgical treatment of benign lesions of the uterus.