腹腔镜与开腹子宫肌瘤剔除术的对比分析

Efficacy Comparison of laparoscopic myomectomy and transabdominal myomectomy

目的评价传统开腹式子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术的优缺点。方法回顾分析传统开腹式子宫肌瘤剔除术50例(腹式组)和腹腔镜下子宫肌瘤剔除术30例(腹腔镜组)的临床资料,并对两组患者的手术时间、术中出血量和术后复发率等进行比较。结果腹腔镜组手术时间长于腹式组(P<0.01),术中出血量与腹式组比较差异无统计学意义(P>0.05),术后住院天数及术后病率均少于腹式组(P<0.05),但术后复发率腹腔镜组明显高于腹式组(P<0.01)。结论开腹式子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术各有优缺点,腹腔镜下子宫肌瘤剔除术具有创伤小、恢复快、住院时间短的优势,而对于体积较大且多发性的子宫肌瘤,传统开腹式子宫肌瘤剔除术是较合适的选择。

Objective To evaluate the advantages and disadvantages of laparoscopic myomectomy （LM） and transabdominal myomeetomy（TAM）. Methods By retrospectively reviewing the clinical data of 50 cases with TAM（ TAM group） and 30 cases with LM（ LM Group）, compared the operation time, blood loss during operation and the recurrence rate between these 2 groups. Results The LM group is shorter than the TAM group in the operation time（ P 〈0.01 ）. There are no sighificant difference in operative blood loss（ P 〉0.05 ）. About the hospitalized days and sick rate, the LM Group is less than the TAM group（ P 〈 0.05 ）, but in the recurrence rate, the LM Group is obviously higher than the TAM group（ P 〈 0.01 ）. Conclusions Transabdominal myomectomy and laparoscopic myomectomy have disadvantages and advantages respectively. Laparoscopic myomectomy has the advantages of less invasion, rapid recovery and less hospitalized days, while for large area and frequently occurred, it is better to chose the traditional transabdominal myomectomy.