腹腔镜与传统开腹治疗子宫肌瘤的临床效果对比研究

目的探讨腹腔镜手术与传统开腹手术治疗子宫肌瘤的临床效果。方法 71例患者被随机分为实验组(n=36)和对照组(n=35),实验组组给予腹腔镜子宫肌瘤剔除手术,对照组给予传统开腹手术。结果实验组手术时间显著长于对照组(t=4.386,P<0.01),但术中出血量、术后排气时间和住院时间均显著少于对照组(t=4.275,P<0.01;t=3.369,P<0.01;t=3.763,P<0.01),术后1年复发率差异无统计学意义(x2=2.012,P>0.05)。结论对于子宫肌瘤我们更倾向于患者行腹腔镜手术,但应根据患者自身具体情况,选择适合自己的手术方式,以有效改善病情。

Objective To explore the clinical effect of laparoscopic myomectomy and traditional opened surgery on hysteromyoma.Methods 71 cases of patients were randomly divided into experimental group （n=36） and control group （n=35） experimental group were given laparoscopic myomectomy and control group were given opened surgery.Results The surgery time of experimental group was significantly longer than control group（t=4.386 P0.01）;the blooding during surgery,hospital time and time of gas elimination of experimental group were significantly shorter than control group（t=4.275 P0.01 t=3.369 P0.01 t=3.763 P0.01）;the recurrence rate after one year in two groups had no significant difference （x2=2.012 P0.05）.Conclusion For hysteromyomawe prefer to laparoscopic myomectomy but patients should choose proper surgery methods according to concrete condition to turn better effectively.