腹腔镜手术与开腹手术治疗子宫肌瘤对比分析

Comparative Analysis of Laparoscopic Surgery and Laparotomy in the Treatment of Uterine Fibroids

目的对比分析腹腔镜手术与开腹手术治疗子宫肌瘤的临床疗效。方法 136例子宫肌瘤患者随机分为腹腔镜手术组(70例)和开腹手术组(66例),比较两组手术时间、术中出血量、肛门排气时间、留置导尿管时间、术后镇痛用药率、术后住院时间、术后热病率以及手术并发症等情况。结果腹腔镜手术组手术时间与开腹手术组相同(P>0.05),术中出血量、肛门排气时间、留置导尿管时间、术后住院时间、术后镇痛用药率及术后热病率均明显小于开腹手术组(P<0.01)。结论腹腔镜手术治疗子宫肌瘤具有创伤小、并发症发生率低,值得临床推广应用。

Objective To analyze clinical curative effect of laparoscopic surgery and laparotomy in the treatment of uterine fibroids.Methods 136 cases with uterine fibroids patients were randomly divided into laparoscopic surgical group（70 cases） and laparotomy group（66 cases）,more two groups of operative time,peri-operative bleeding,anus exhaust time,detaining urethral catheter time,postoperative analgesia and postoperative hospitalization time medication rate and postoperative fever rate and the surgical complications,etc.Results Laparoscopic surgical operation time was the same for laparotomy（P0.05）.The peri-operative bleeding,anus exhaust time,detaining urethral catheter time,postoperative hospitalization time,postoperative analgesia drug use rate and postoperative fever rate were obviously less than laparotomy（P0.01）.Conclusion Laparoscopic surgical treatment of uterine fibroids have small trauma and complication rate was low and clinical application.