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目的探讨“套扎法”改良小切口在子宫次全切除术中的应用效果。方法将90例妇科良性疾病患者根据手术方法的不同分为小切口组43例、腹腔镜组47例,小切口组采用“套扎法”改良小切口进行手术,腹腔镜组采用腹腔镜进行手术。结果 2组手术时间、术中出血量、肛门排气时间比较差异均无统计意义(P>0.05);住院费用腹腔镜组明显高于小切口组,2组比较差异有高度统计意义(P<0.01)。结论 “套扎法”改良小切口手术与腹腔镜手术在子宫次全切除术中治疗效果相当,但是“套扎法”改良小切口手术相比腹腔镜手术容易掌握,还可明显降低治疗费用,非常适合在基层医院推广应用。
Objective To explore the application effect of “ligation” improved small incision in subtotal hysterectomy. Methods Ninety-nine patients with benign gynecological diseases were divided into three groups: small incision group (n = 47) and laparoscopic group (n = 47). According to the surgical method, 47 cases were treated by small lumbar puncture Surgery. Results There was no significant difference in operative time, intraoperative blood loss and anal exhaust time between the two groups (P> 0.05). The cost of hospitalization in laparoscopic group was significantly higher than that in small incision group (P < 0.01). Conclusion “Ligation ” improved small incision and laparoscopic hysterectomy in the treatment of subtotal hysterectomy, but “ligation ” improved small incision laparoscopic surgery is easy to grasp, but also significantly Reduce treatment costs, is very suitable for promotion and application in primary hospitals.