腹腔镜与经腹子宫肌瘤剔除术比较

Laparoscopic myomectomy versus laparotomy myomectomy

目的:探讨腹腔镜下子宫肌瘤剔除术在妇科领域的应用价值。方法:回顾分析腹腔镜下子宫肌瘤剔除术56例(N1组)与经腹子宫肌瘤剔除术49例(N2组)患者的手术及术后情况。结果:N1组平均手术时间(82.24±24.06)m in,N2组平均手术时间(60±17.39)m in(P<0.05);N1组术中出血(86.11±49.63)m l,N2组术中出血(155.31±72.32)m l(P<0.05)。N1组术后平均体温恢复正常时间为(1.29±1.40)d,N2组平均(2.76±1.20)d(P<0.05);N1组术后平均住院(5.56±1.32)d,N2组(9.37±1.62)d(P<0.05)。全组无死亡病例及严重并发症发生。结论:腹腔镜下子宫肌瘤剔除术安全、有效,用于适当病例可完全取代开腹手术。

Objectives：To exptore the value of laparoscopic myomectomy in gynecologic field. Methods：The clinical data of the 56 patients receiving laparoscopic mymectomy（ N1 group） and 49 patients（ N2 group）laparotomy myomectomy were analyzed retrospectively. Results ：The mean operative time and blood loss in Nl group were （ 82. 24 ± 24. 06） min and （ 86. 11 ±49. 63 ） ml respectively, while in N2 group they were （60 ± 17.39） min and （ 155.31 ± 72. 32 ） ml respectively （ P 〈 0.05 ）. The mean time of resuming normal temperature after operation was （1.29 ± 1.40） days in N1 group, and it was （ 2. 76 ± 1.20） days in N2 group （ P 〈 0.05 ）. In Nl group the mean hospitalization after operation was （5.56 ± 1.32） days, while in N2 group the it was （ 9. 37 ± 1. 62） days （ P 〈 0.05 ）. Conclusions： Laparoscopic myomectomy is safe and effective. It is deserved to be advocated in some propriety cases.