CAJ | 학술논문

目的：探讨不同子宫全切术的临床疗效和安全性。方法将行子宫全切术的90例患者按随机数字表法分为A组、B组和C组，每组30例。 A组接受腹腔镜下子宫全切术，B组接受经阴道子宫全切术，C组接受传统开腹子宫全切术，比较3组的临床效果。结果 A组肛门排气时间、下床活动时间、住院时间明显低于B、C组（P＜0.05），A组住院费用明显高于B、C组（P＜0.05）。 A组患者术前及术后3个月雌二醇、卵泡刺激素（ESH）、黄体生成素（LH）及孕酮水平与B组和C组比较差异无统计学意义（均P＞0.05）。 A组远期并发症发生率（23.3%）明显低于A组（73.3%）及B组（76.7%）（P＜0.05）。结论腹腔镜子宫全切术效果更好，但费用较贵。
목적：탐토불동자궁전절술적림상료효화안전성。방법장행자궁전절술적90례환자안수궤수자표법분위A조、B조화C조，매조30례。 A조접수복강경하자궁전절술，B조접수경음도자궁전절술，C조접수전통개복자궁전절술，비교3조적림상효과。결과 A조항문배기시간、하상활동시간、주원시간명현저우B、C조（P＜0.05），A조주원비용명현고우B、C조（P＜0.05）。 A조환자술전급술후3개월자이순、란포자격소（ESH）、황체생성소（LH）급잉동수평여B조화C조비교차이무통계학의의（균P＞0.05）。 A조원기병발증발생솔（23.3%）명현저우A조（73.3%）급B조（76.7%）（P＜0.05）。결론복강경자궁전절술효과경호，단비용교귀。
Objective To investigate the clinical efficacy and safety of different types of total hysterectomy. Methods Ninety patients were randomly treated with total laparoscopic hysterectomy (group A, n=30), total vaginal hysterectomy (group B,n=30) or total abdominal hysterectomy (group C, n=30). Clinical efficacy was compared among the three groups. Results Compared with group A, anus exhaust time, out-of-bed activity time and hospital stay were significantly prolonged and hospitalization costs were significantly decreased in both group B and group C (P<0.05). In addition, the incidence of long-term complications in group A (23.3%) was significantly lower than that in group B (73.3%) or group C (76.7%)(P<0.05). There were no obvious differences in the levels of estradiol, follicle stimul-ating hormone, luteinizing hormone and progesterone among the three group(P>0.05). Conclusion Total laparoscopic hysterectomy results in better efficacy but higher costs.