经腹腔镜与经腹子宫切除术疗效比较

目的：比较腹腔镜与经腹子宫切除术的临床疗效、安全性以及并发症发生情况。方法对收治的154例有子宫切除指征患者采用非随机对照法分为两组，一组为观察组采用腹腔镜手术，另一组为对照组采用经腹手术；两组患者在年龄及病情上无明显差异；观察两组临床疗效、安全性及术中、术后并发症。结果观察组手术时间为（72．0±13．2）min，明显短于对照组的（98．0±20．7）min（t＝3．396，P＝0．021）；观察组术中出血量（96．0±75．4）mL，明显少于对照组的（159．4±98．0）mL（t＝9．680，P＝0．014）；观察组肛门排气时间（17．2±4．2）h，明显短于对照组的（28．6±6．1）h（t＝9．760，P＝0．013）；观察组平均住院日（5．2±1．9）d，明显短于对照组的（9．5±3．2）d（t＝-5．025，P＝0．018）；观察组镇痛药的使用率（3/89）明显低于开腹手术组的（48/78）（t＝-8．820，P＝0．000）。结论腹腔镜子宫切除术安全、有效。值得在临床推广，同时提高操作技能是减少并发症的关键。

The efficacy comparison of between laparoscope and transabdominal hysterectomy

Objective To investigate the clinical efficacy and safety between laparoscopic and transabdomi -nal hysterectomy ,reduce the occurrence of complications measures .Methods On 154 cases of hysterectomy indica-tions were nonrandomly divided into two groups ,one group for the observation group of 79 cases of laparoscopic opera-tion,another group was control group of 75 patients with transabdominal operation;two groups had no significant differ-ence in age and disease .The clinical effect ,postoperative complications and safety between the two groups during and after operations were observed .Results The operation time of the laparoscopic group （72.0 ±13.2） min was signifi-cantly shorter than that of the control group （98.0 ±20.7）min （t=3.396,P=0.021）;The bleeding quantity of the laparoscopic group（96.0 ±75.4）mL was significantly shorter than that of the control group （159.4 ±98.0）mL（t=9.680,P=0.014）;The aerofluxus time of the laparoscopic group （17.2 ±4.2） h was significantly shorter than that of the control group（28.6 ±6.1）h（t=9.760,P=0.013）.The average postoperative hospital stay time was significantly shorter in laparoscopic group（5.2 ±1.9）d than those in abdominal group（9.5 ±3.2）d （t=-5.025,P=0.018）. The analgesic used in the laparoscopic group （3/89）was significantly shorter than that in the control group （48/78） （t=-8.820,P=0.000）.Conclusion Laparoscopic hysterectomy is safe and effective .It is worth to promote in clinical,while improving the operation skills is the key to reduce the complications .