两种不同肌瘤剔除术治疗子宫肌瘤的临床疗效比较

Comparison of clinical efficacy of two kinds of myomectomy in treatment of hysteromyoma

目的:比较腹腔镜子宫肌瘤剔除术与腹式子宫肌瘤剔除术的临床疗效。方法:回顾分析63例腹腔镜子宫肌瘤剔除术与61例腹式子宫肌瘤剔除术的临床资料,比较2种手术方式的手术时间、术中出血量、肛门排气时间、使用抗生素时间、术后感染率、体温恢复正常时间、住院时间等情况。结果:两组患者接受子宫肌瘤剔除术顺利完成,腹腔镜组手术时间长于开腹组(P>0.05),腹腔镜组术中出血量及剔除肌瘤个数均少于开腹组(P<0.05),术后腹腔镜组体温恢复正常时间、肛门排气时间、抗生素使用及住院时间均短于开腹组,两组患者最多随访6个月,腹腔镜组平均康复时间较开腹组短(P<0.05),两组随访B超均未发现明显肌瘤结节。结论:腹腔镜子宫肌瘤剔除术损伤小,恢复快,住院时间短,是值得推广的微创手术。

Objective： To compare the clinical efficacy of laparoscopic myomectomy and abdominal myomectomy in treatment of hysteromyoma. Methods： The clinical data of 63 cases undergoing laparoscopic myomectomy and 61 cases undergoing abdominal myomectomy were analyzed retrospectively, the operation time, intraoperative blood loss, anal exsufflation time, treatment time of antibiotics, incidence of postoperative infection, time of temperature recovery to normal and hospitalization days in the two groups were compared. Results： All the surgeries were successful, the operation time in laparoscopic myomectomy group was longer than that in abdominal myomeetomy group （ P 〉 0.05 ） . However, the intraoperative blood loss and amount of hysteromyoma in laparoscopic myomectomy group were significantly fewer than those in abdominal myomectomy group （ P 〉 0. 05 ）, the time of temperature recovery to normal, anal exsufflation time, treatment time of antibiotics and hospitalization days in laparoseopic myomectomy group were shorter than those in abdominal myomectomy group, the cases in the two groups were followed up for six months at most, the mean recovery time in laparoscopic myomectomy group was shorter than that in abdominal myomectomy group （ P 〈 0. 05 ）, no obvious myoma nodules were detected by B type ultrasound during follow - up. Conclusion： Laparoscopic myomectomy is a minimally invasive surgery with the advantages of less injury, rapid recovery, short hospitalization days, which is worthy to be recommended.