腹腔镜和开腹子宫肌瘤剔除术的临床分析

Comparative Analysis on Laparoscopic Myomectomy and Open Myomectomy

目的探讨腹腔镜子宫肌瘤剔除术的临床应用价值。方法对2006年10月-2008年9月腹腔镜(n=21)与开腹(n=37)子宫肌瘤剔除术两组患者手术时间、术中出血量、术后体温恢复正常时间和住院日等进行对比分析。结果腹腔镜组手术时间(90.1±33.8)min,经腹手术组平均为(83.7±30.5)min,两组差异无统计学意义,P>0.05。腹腔镜组术中出血平均(71.1±38.5)ml,少于经腹手术组的(113.6±53.8)ml,P<0.01。术后体温恢复正常时间腹腔镜组(1.3±0.8)d,短于开腹组的(2.8±1.4)d,P<0.01。腹腔镜组术后住院时间(4.1±1.0)d,短于开腹组的(7.6±1.7)d,P<0.01。结论腹腔镜子宫肌瘤剔除术具有创伤小,术中出血少,术后恢复快及住院时间短等优点,但有一定手术适应证,不能完全取代开腹手术。

Objective To discuss the clinical value of laparoscopic myomectomy. Methods The operation time, volume of blood loss, temperature recovery time and hospitalization time of patients underwent laparoscopic myomectomy （laparoscopic group,n = 21 ） and open myomectomy（ open group, n = 37 ） were compared. Results There was no significant difference in the operation time between the Laparoscopic Group（90.1 ± 33.8 min ） and the open group（ 83.7 ＋ 30.5min）, P 〉 0.05. The intrao- perative blood loss in the Laparoscopic Group（71.1 ± 38.5 ml ） was significantly less than that in the open group（ 113.6 ± 53.8） ,P 〈0.01. The temperature recovery time and hospitalization time were（ 1.3 ± 0.8 d,4.1 ± 1.0 d） in the laparoscopic group and （2.8 ± 1.4 d,7.6± 1.7 d） in the open group, and there was statistically significant between the two groups P 〈 0.01. Conclusions Laparoscopic myomectomy has advantages of micro-invasion, little blood loss, rapid postoperative recovery, and short hospitalization time. However,it cannot entirely supersede the open myomectomy.