腹腔镜下子宫肌瘤剔除术与传统开腹术的临床疗效比较分析

Comparative Analysis of the Effect of Laparoscopic and Laparotomy on Myomectomy

目的比较分析腹腔镜下和传统开腹子宫肌瘤剔除术的临床效果,探讨腹腔镜下子宫肌瘤剔除术的治疗效果及应用价值。方法将160例患者随机分为腹腔镜组及开腹组,比较两组患者术中及术后情况。结果腹腔镜组的术中出血量、术后肛门排气时间及住院天数均明显低于开腹手术组,差异有统计学意义(P<0.05);腹腔镜手术时间较开腹手术组长,差异有统计学意义(P<0.05)。腹腔镜组2例中转开腹。腹腔镜组腹部切口甲级愈合率100%,5例发生皮下气肿,1例出现肩部酸痛不适等症状。开腹手术组有4例腹部切口愈合不良。结论腹腔镜子宫肌瘤剔除术较传统开腹手术效果好,具有创伤小、恢复快,住院时间短,并发症少等优点,值得临床推广应用。

OBJECTIVE Comparative analysis of the clinical effects on laparoscopic and traditi nalolaparotomy myomeetomy, explore the laparoseopic myomeetomy the treatment effect and application value. METHODS 160 cases were randomly divided into the laparoscopic group and laparotomy group, compared between the two groups of patients with intraoperative and postoperative situation. RESULTS The laparoscopie group the volume of blood loss, postoperative anal exhaust time and hospitalization days were significantly lower than the open surgery group, there was a significant difference （P〈0.05）, laparoscopic surgery time than open surgery, head, there was a significant difference （P〈0.05）, laparoscopic group because of 2 cases of conversi onabdominal incision laparoscopic group the healing rate of 100% Grade A, 5 cases ofsubcutaneous emphysema occurred, one patient had a sore shoulder discomfort symptoms; laparotomy group the healing rate of 100% GradeA, 5 Cases of subcutaneous emphysema occurde, one patient had a sore shoulder discomfert symptoms. Lap urotomy group has 4 cases of abdominal incision healing.CONCLUSION Laparoscopic myomectomy than traditional laparotomy effective, with less trauma and quicker recovery, shorter hospitalization, fewer complications, etc., it is worth clinical application.