腹壁单点悬吊式腹腔镜下子宫肌瘤切除术临床疗效比较研究

Abdominal wall single-point suspension type laparoscopic resection of the uterine fibroids clinical curative effect of the comparative study

目的观察比较腹壁单点悬吊式腹腔镜下子宫肌瘤切除术、普通腹腔镜及传统开腹手术法治疗子宫肌瘤的临床效果。方法选取我院自2006年1月至2008年12月收治的126例子宫肌瘤患者随机分为观察组(腹壁单点悬吊式腹腔镜)和对照组1(传统开腹手术组)、对照组2(腹腔镜组)各42例,比较3组的手术结果及并发症情况。结果 (1)3组从手术时间、术中出血量、术后排气时间及术后住院天数上比较差异均有统计学意义(P<0.05,P<0.01)。(2)观察组术后并发症发生率为2.38%(1/42),对照组术后并发症发生率为16.6%(7/42)和7.14%(3/42),3组比较差异显著(P<0.01),具有统计学意义。结论腹壁单点悬吊式腹腔镜下子宫肌瘤切除术,比较传统开腹手术及普通腹腔镜手术治疗子宫肌瘤具有创伤小、恢复更快、术后并发症更少的优势,值得临床推广使用。

Objective Single point of observation and comparison suspended abdominal laparoscopic myomectomy, general laparoscopic and traditional open surgery method the clinical effects of treatment of uterine fibroids.Methods Select our hospital from January 2006～December 2008, 126 cases of uterine fibroids treated patients were randomly divided into two groups （single-point suspension laparoscopic abdominal wall） and control group 1 （conventional open surgery group） and control group 2 （laparoscopic group） of the 42 patients, compared three groups of surgical results and complications. Results （1） the three groups from the operation time, blood loss, postoperative discharge time and postoperative hospital stay were significantly different on （P0.05, P0.01）, with statistical significance; （2） the observation group postoperative complication rate was 2.38% （1 / 42）, the control group postoperative complication rate was 16.6% （7 / 42） and 7.14% （3 / 42）, a significant difference between the three groups （P0.01） with statistical significance.Conclusion Single point suspended abdominal laparoscopic myomectomy, a more traditional open surgery and general laparoscopic surgery for uterine fibroids with less trauma and faster recovery, fewer postoperative complications, advantages, is worthy of clinical use .