摘要
目的 探讨比较腹腔镜辅助下阴式子宫切除术与经腹全子宫切除术的效果.方法 选取2008年1月～2010年6月于笔者所在医院行子宫切除术的100例患者为研究对象,将其分为A组（腹腔镜辅助下阴式子宫切除术组）50例和B组（经腹全子宫切除术组）50例,后将两组患者的手术时间、术中出血量、住院时间、排气时间及并发症发生率和手术前后不同时间段血清CRP水平等进行统计及比较.结果 经研究比较发现,A组的手术时间、住院时间及排气时间均短于B组,并发症发生率低于B组,术中出血量少于对照组,而术后1、3、5 d血清CRP水平水平均高于B组,经比较,均有统计学意义（P＜0.05或＜0.01）,而治疗后7 d两组无显著性差异.结论 腹腔镜辅助下阴式子宫切除术较经腹全子宫切除术的综合效果较佳,对血清CRP的影响也较其要小,值得临床推广应用.
Objective To study and compare the effects of laparoscopic hysterectomy and total abdominal hysterectomy： Methods 100 patients treated with hysterectomy in our hospital from January 2008 to June 2010 were selected as research object, and they were divided into group A （laparoscopic hysterectomy group）50 cases and group B （total abdominal hysterectomy group）50 cases, then the operative time, intraop- erative blood loss , hospitalization time , exhaust time ,incidence of complications and serum CRPof the two groups at different period were ana- lyzed and studied. Results The the operative time, hospitalization time and exhaust time of group A were shorter than those of group B, inci- dence of complications of group A was lower than that of group B,intraopcrative blood loss of group A was less than that of group B, serum CRP of group A after the operation at 1.3.5 d were lower than those of group B, P 〈 0. 05, there were significant differences, but serum CRP of the teo groups at 7 d had no difference. Conclusion The effects of laparoscopic hysterectomy is better than that of total abdominal hysterectomy, and the influence for CRP is smaller,and it is worthy of popularization and application.
出处
《中外医学研究》
2010年第25期10-11,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
