腹腔镜筋膜内子宫切除术与开腹子宫切除术临床效果比较

目的：比较腹腔镜筋膜内子宫内切除术与开腹子宫切除术的临床效果。方法：取同时期同组医师实施的，术前一般情况差异无统计学意义的腹腔镜筋膜内子宫内切除术（CISH）62例和开腹子宫切除术（AH）60例患者，比较2组手术时间，术中出血量，术后发热率，术后住院时间，排气时间，术后疼痛及抗生素应用时间等指标。结果：CISH组与AH组比较，术后住院时间短，发热率低，抗生素使用时间短，排气时间短（均P＜0．01），术中出血量少（P＜0．01），手术时间长（P＜0．01），结论：腹腔镜筋膜内子宫内切除术具有创新少，出血少，恢复快，住院时间等优点，值得推广应用。

Comparison of clinical effects between classical intrafascial SEMM hysterectomy and abdominal hysterectomy

Aim:To compare the curative effects of classical intrafascial SEMM hysterectomy (CISH) and abdominal hysterectomy (AH). Methods:Sampling patients during the same period: CISH group (62 patients) and AH group (60 patients). All Operations were performed by the doctors of the same group. The data such as operation time, postoperative hemorrhage,rate of postoperative fever, postoperative in-hospital time, postoperative farting time, postoperative pain and antibiotics consumption were compared. Results:The rate of postoperative fever,in-hospital time, farting time,postoperative hemorrhage, and antibiotics consumption of CISH group were lower or less than those of AH group( P < 0. 01). But operation time of CISH group was longer than that of AH group (P < 0. 01). Conclusion : CISH has smaller incision, less hemorrhage, short in-hospital time and recovering time.