腹腔镜下子宫肌瘤剔除术临床分析

Study on laparoscopic hysteromyomectomy in the treatment of uterinemyoma

目的通过开腹和腹腔镜两种术式比较,探讨腹腔镜下子宫肌瘤剔除术的手术方法、适应证、术后疗效及临床应用价值。方法回顾性分析2007年5月至2009年5月子宫肌瘤保留子宫的患者104例,其中59例采用腹腔镜下子宫肌瘤剔除术(腹腔镜组);45例采用开腹子宫肌瘤剔除术(开腹组),比较两种手术方式的术中出血量、手术时间、术后通气时间、术后住院天数和术后病率。结果腹腔镜组术中出血(143.29±41.28)ml,与开腹组(139.16±91.17)ml相近(P>0.05);腹腔镜组手术时间(81.26±11.31)min,明显长于对照组(70.18±10.25)min(P<0.05);腹腔镜组术后通气时间(9.1±1.5)h,明显少于开腹组(17.6±2.8)h(P<0.05);腹腔镜组术后住院天数(5.52±1.7)d,明显少于开腹组(7.32±2.1)d(P<0.05);腹腔镜组术后病率(0),明显少于开腹组(2.2%)(P<0.05)。结论腹腔镜下子宫肌瘤剔除术与开腹手术相比手术效果无明显差异,术后恢复优于开腹手术,是一种理想的手术方式。

Objective To explore the cheractervistic such as indication,curative effect and clinical value of laparoscopic hysteromyomectomyas as treatment of uterusmyoma compare with the abdominal hysterectomy.Methods There are 59 patients with laparoscopic hysteromyomectomyas and 45 patients with abdo-minal hysterectomy.We Analysised the blood loss,operation time,postoperative ventilation time,postoperative hospital stay and postoperative morbidity between two groups retro-spectively from May 2007 to May 2009.Results The differences observed were statistically significant in the rusults of postoperative ventilation time,postoperative hospital stay and postoperative morbidity in the laparoscopic hysteromyo-mectomyas,while the blood loss was no significant difference.Conclusion We suggest that laparoscopic hysteromyomectomyas is safe and feasible and short recovery in treating uterinemyoma.