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目的:分析改良后大子宫腹腔镜全子宫切除术(Total Laparoscopic Hysterectomy,TLH)的临床效果。方法:选择2005年1月~2008年1月因大子宫(子宫体积>12孕周)良性疾病行改良式TLH手术的56例作为观察组,同期因子宫(子宫体积<12孕周)良性疾病行TLH的106例作为对照组,比较两组的手术时间、术中出血量、术后住院时间、术后并发症发生率。结果:观察组所有病例均在镜下完成,无一例中转开腹;对照组中转开腹2例。两组的手术时间、术中出血量、肛门恢复排气时间、术后住院时间、术后并发症发生率差异均无统计学意义(P>0.05)。结论:改良式TLH对子宫体积>12孕周的患者是安全、有效的,值得在有条件的医院开展。
Objective: To analyze the clinical effect of modified total hysterectomy (Total Laparoscopic Hysterectomy). Methods: From January 2005 to January 2008, 56 patients undergoing modified TLH for benign diseases of the large uterus (uterine volume> 12 gestational weeks) were selected as the observation group. During the same period, the uterus (uterine volume <12 gestational weeks) benign disease Totally 106 patients underwent TLH as the control group. The operation time, intraoperative blood loss, postoperative hospital stay and postoperative complication rate were compared between the two groups. Results: All the cases in the observation group were completed under the microscope. None of the cases were converted to open surgery. The control group received laparotomy in 2 cases. There were no significant differences in the operation time, intraoperative blood loss, anus recovery exhaust time, postoperative hospital stay, postoperative complication rate (P> 0.05). CONCLUSION: Modified TLH is safe and effective for patients with uterine volume> 12 gestational weeks and is worth carrying out in hospitals with conditions.