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目的评估腹腔镜下子宫次全切除术宫颈残端2种不同处理方法的临床效果。方法腹腔镜下子宫次全切除术380例,以间隔随机法将宫颈残端分别采用套扎法(套扎组)和缝合法(缝合组)各190例;比较2组手术时间、术中出血量、手术并发症、肛门排气时间、术后恢复情况及住院费用等。结果 2组术中出血量、肛门排气时间、住院时间、住院费用比较差异无统计学意义(P>0.05),手术时间、手术并发症发生率及术后发热比例差异有统计学意义(P<0.05)。结论腹腔镜下子宫次全切术手术其宫颈残端的处理,缝合法较套扎法更安全,且严重并发症少。
Objective To evaluate the clinical effects of laparoscopic subtotal hysterectomy with two different treatments of cervical stump. Methods 380 patients underwent laparoscopic subtotal hysterectomy were randomly divided into two groups: ligation group (ligation group) and suture group (suture group), 190 cases respectively. The operative time, intraoperative bleeding Volume, surgical complications, anal exhaust time, postoperative recovery and hospitalization costs. Results There were no significant differences in the amount of bleeding, anal exhaust time, hospitalization time and hospitalization costs between the two groups (P> 0.05), and the differences of operative time, operative complications and postoperative fever were statistically significant (P <0.05). Conclusion Laparoscopic subtotal hysterectomy cervical stump surgery, suture method is more secure than ligation, and less serious complications.