悬吊式腹腔镜与开腹子宫肌瘤剔除术疗效比较

Comparison Between Laparoscopic Myomectomy Using Lifting Method and Abdominal Myomectomy

【目的】探讨悬吊式腹腔镜下子宫肌瘤剔除术临床应用的可行性及优越性。【方法】比较悬吊式腹腔镜下子宫肌瘤剔除术30例（腹腔镜组）与开腹子宫肌瘤剔除术38例（开腹组）患者手术时间、术中出血量、肛门排气时间及术后住院日。【结果】腹腔镜组手术时间较开腹组稍长，但差异无显著性（P〉0．05），术中出血量及住院时间明显少于开腹手术组，术后排气时间明显短于开腹手术组（P〈0．05）。【结论】悬吊式腹腔镜下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，值得临床推广应用。

[Objective] To explore the clinical feasibility and superiority of laparoscopy myomectomy using lifting method. [Methods]Thirty patients undergoing laparoscopic myomeetomy using lifting method （Laparoscopy Group） and 38 patients undergoing abdominal myomectomy （taparotomy group） were studied. The operative time, hemorrhage voiume, recovery time of bowel movement and discharge time after operation between two groups were compared. [ResultslThe operation time of laparoseopy group was slightly longer than that of laparotomy group （ P〉0.05）. The operative bleeding volume of laparoseopy group were fewer than those in laparotomy group （ P〈0.05） . The functional recovery time of bowel and length of stay in laparoseopy group were shorter than those in laparotomy group （ P〈0.05）. [Conelusion]Laparoscopy myomeetomy using lifting method has the merit of minor trauma, few operative blood loss, early postoperative recovery and short stay time in hospital. The method should be popularized.