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目的对比传统经腹子宫切除术,探讨腹腔镜下筋膜内子宫切除术的可行性及优越性。方法入选48例因各种妇科良性病变需行子宫切除的患者进行腹腔镜下筋膜内子宫切除术,与同期经腹子宫切除52例进行比较,分析相关并发症及近期临床效果。结果腹腔镜下筋膜内子宫切除术组47例顺利进行,1例中转开腹,中转率2.08%,术中平均出血量、术后胃肠功能恢复时间、住院天数均明显低于经腹子宫切除组(P<0.05),术后性生活质量高于经腹子宫切除组(P<0.05),手术时间两组之间差异无统计学意义(P>0.05)。结论腹腔镜筋膜内子宫切除术可彻底切除子宫病灶、疗效确切,保存了盆底的完整性,相关并发症好于经腹子宫切除术,术后性生活质量较高。
Objective To contrast the traditional abdominal hysterectomy and explore the feasibility and superiority of laparoscopic intrafascial hysterectomy. Methods Forty-eight patients undergoing hysterectomy for various types of gynecological benign lesions underwent laparoscopic intrafascial hysterectomy. Compared with 52 cases undergoing abdominal hysterectomy during the same period, the complication and the clinical effect were analyzed. Results In the group of laparoscopic intrafascial hysterectomy, 47 cases were successfully performed. One case was converted to open laparotomy and the conversion rate was 2.08%. The mean intraoperative blood loss, postoperative gastrointestinal function recovery time and hospitalization days were significantly lower than those in the abdominal abdomen (P <0.05). The quality of postoperative sexual life was higher than that of abdominal hysterectomy (P <0.05). There was no significant difference between the two groups in operation time (P> 0.05). Conclusion Laparoscopic intrafascial hysterectomy can completely remove the uterine lesions, the curative effect is exact, preserving the integrity of the pelvic floor, and the complications are better than abdominal hysterectomy. The quality of postoperative sexual life is higher.