3种子宫全切术的临床疗效观察

目的探讨不同子宫全切术的临床疗效和安全性。方法将行子宫全切术的90例患者按随机数字表法分为A组、B组和C组,每组30例。A组接受腹腔镜下子宫全切术,B组接受经阴道子宫全切术,C组接受传统开腹子宫全切术,比较3组的临床效果。结果 A组肛门排气时间、下床活动时间、住院时间明显低于B、C组(P<0.05),A组住院费用明显高于B、C组(P<0.05)。A组患者术前及术后3个月雌二醇、卵泡刺激素(ESH)、黄体生成素(LH)及孕酮水平与B组和C组比较差异无统计学意义(均P>0.05)。A组远期并发症发生率(23.3%)明显低于A组(73.3%)及B组(76.7%)(P<0.05)。结论腹腔镜子宫全切术效果更好,但费用较贵。

Clinical Efficacies of Three Types of Total Hysterectomy

Objective To investigate the clinical efficacy and safety of different types of total hysterectomy. Methods Ninety patients were randomly treated with total laparoscopic hysterectomy （group A, n=30）, total vaginal hysterectomy （group B,n=30） or total abdominal hysterectomy （group C, n=30）. Clinical efficacy was compared among the three groups. Results Compared with group A, anus exhaust time, out-of-bed activity time and hospital stay were significantly prolonged and hospitalization costs were significantly decreased in both group B and group C （P＆lt;0.05）. In addition, the incidence of long-term complications in group A （23.3%） was significantly lower than that in group B （73.3%） or group C （76.7%）（P＆lt;0.05）. There were no obvious differences in the levels of estradiol, follicle stimul-ating hormone, luteinizing hormone and progesterone among the three group（P＆gt;0.05）. Conclusion Total laparoscopic hysterectomy results in better efficacy but higher costs.