腹腔镜与开腹子宫肌瘤切除术后早期临床效果的比较

Early Outcome of Myomectomy with Laparotomy and Laparoscopy

目的比较腹腔镜和开腹子宫肌瘤切除术在术后第1周的临床效果。方法将2008年1月2009年12月收治的34例子宫肌瘤患者随机分为腹腔镜组17例,开腹组17例。所有患者均为肌壁间肌瘤或浆膜下肌瘤,肌瘤直径在5～15cm之间且数目≤3个。结果两组患者手术时间相近;腹腔镜组术后体温恢复正常时间、肛门排气时间、排尿时间均短于开腹组(P<0.05);腹腔镜组、开腹组术后血红蛋白下降更为明显(P<0.05);术后7d,开腹组腹痛视觉模拟评分明显高于腹腔镜组(P<0.05)。结论腹腔镜下子宫肌瘤切除术具有创伤小、恢复快、疼痛轻等优点,是一种安全有效的手术方法。

Objective To compare the outcome of myomectomy performed by laparotomy and laparoscopy in the first 7days after surgery.Methods Thirty-four patients with myoma less than three and in diameter of 5-15cm from January 2008to December 2009were randomly divided into laparotomy group and laparoscopy group.Results Operation lengths were similar in the two groups.Time of paralytic ileus（P0.05）and discharge（P0.05）were longer in laparotomy group than laparoscopy group.Compared with laparoscopy group,laparotomy group had a greater hemoglobin decline（P0.05）.Time of post-operation fever were longer in laparotomy group than laparoscopy group （P0.05）.Seven days after surgery,the visual analogue scores of abdominal pain were higher in laparotomy group than in laparoscopy group（P0.05）.Conclusion Compared with the laparotomy myomectomy,laparoscopy myo-mectomy have mini trauma,quicker post operative recovery,and less pain.This method is safe and effective.