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目的分析腹腔镜筋膜内全子宫切除术与经腹全子宫切除术及阴式全子宫切除术的临床效果。方法 120例子宫切除患者,随机分为A组、B组、C组,各40例。A组给予腹腔镜筋膜内全子宫切除术;B组给予经腹全子宫切除术治疗,C组给予阴式全子宫切除术治疗,比较三组患者临床治疗效果。结果 A组患者术中出血量、术后肛门排气时间、术后住院时间均明显少于B组、C组,住院费用均高于B组、C组,B组手术时间明显短于A组及C组,差异均有统计学意义(P<0.05)。A组术后并发症发生率均明显低于B组及C组,C组术后并发症低于B组,差异均有统计学意义(P<0.05)。结论腹腔镜筋膜内全子宫切除术虽然治疗费用较高,但术后患者恢复快、并发症发生率低,仍具有较高的临床推广价值。
Objective To analyze the clinical effects of total hysterectomy and transabdominal total hysterectomy and vaginal hysterectomy in laparoscopic fascia. Methods 120 cases of hysterectomy patients were randomly divided into A group, B group, C group, 40 cases each. Group A was given laparoscopic total hysterectomy; group B was treated with transabdominal hysterectomy; group C was treated with vaginal hysterectomy; and the clinical effects of the three groups were compared. Results In group A, the amount of bleeding during operation, postoperative anal exhaust time and postoperative hospital stay were significantly less than those in group B and group C, and hospitalization costs were higher than those in group B. The operation time in group C and group B was significantly shorter than that in group A And C group, the differences were statistically significant (P <0.05). The incidence of postoperative complications in group A was significantly lower than those in group B and C, and the postoperative complications in group C were lower than those in group B (P <0.05). Conclusions Laparoscopic total hysterectomy despite high cost of treatment, but patients recover quickly, the incidence of complications is low, still has a high clinical value.