腹腔镜下子宫全切术与腹式子宫全切术的对比分析

目的分析探讨腹腔镜下子宫全切术与腹式子宫全切术的临床效果比较。方法选择2012年6月-2013年1月期间在我院治疗的子宫良性病变行子宫全切术，患者82例，根据患者治疗方式不同分为观察组50例和对照组32例，观察组行腹腔镜下子宫全切术，对照组采用腹式子宫全切术，比较两组术中和术后恢复情况。结果观察组抗生素使用时间、肛门排气时间及术后住院时间少于对照组（P〈0．05）；术中出血量较对照组少（P〈0．05）；术后疼痛轻于对照组（P〈0．05）。两组在术后并发症方面比较差异无统计学意义（P〉0．05）。结论腹腔镜手术用于子宫全切术具有创伤小、术后恢复快等优点，值得推广。

Comparison of laparoscopic hysterectomy versus abdominal hysterectomy

Objective To analyze and compare the clinical effect of laparoscopic hysterectomy and abdominal hysterectomy. Methods From June 2012 to January 2013, 82 patients with uterine benign lesions were treated with hysterectomy surgery in our hospital. According to different surgical approaches, the involved 82 patients were divided into observation group （n=50） and con- trol group （n=32）. The observation group underwent laparoscopic hysterectomy and the control group underwent abdominal hys- terectomy. The intraoperative conditions and postoperative recovery in the two groups were compared. Results Compared with the control group, the duration of antibiotics use, anal exhaust time and postoperative hospital stay were shortened （P〈0.05）; intraoper- ative blood loss was reduced （P〈0.05）; and postoperative pain was lighter （P〈0.05） in the observation group. There was no signifi- cant difference in the postoperative complications between the two groups （P〉0.05）. Conclusion Laparoscopic hysterectomy pro- duces few trauma and has rapid postoperative recovery, so it is worth of generalization.