腹腔镜大子宫肌瘤切除术与开腹手术的对比研究

Comparative study between laparoscopic and open myomectomy for large hysteromyoma

目的:探讨腹腔镜大子宫肌瘤切除术的可行性及安全性。方法:回顾分析256例大子宫肌瘤患者的临床资料,其中161例行腹腔镜子宫肌瘤切除术,95例行开腹手术。结果:两组手术时间差异无统计学意义(P>0.05);腹腔镜组术中出血量、术后体温恢复正常时间、术后住院时间及术后血红蛋白下降程度优于开腹组(P<0.05)。结论:腹腔镜大子宫肌瘤切除术安全、可行,住院时间短,术后康复快。

Objective ： To explore the feasibility and security of laparoscopic myomectomy for large hysteromyoma. Methods ： A retrospective analysis was made concerning the clinical data of 256 patients with large hysteromyoma, 161 cases underwent laparoscopic hysteromyoma and 95 cases received open resection. Results ： The operative time was longer in the laparoscopic group [ （ 92.95±36.23 ） min ] than that in the open group [ （77.06±27.45 ） min] without statistical difference （ P 〉 0.05 ）. The intraoperative blood loss in the laparoscopic group [ （80.94±24.51） ml] was less than that in open group [ （ 117.94±47.20） ml] （P 〈0.01 ）. The postoperative temperature recovery time was significantly shorter in the laparoscopic group [ （36.18±13.17 ） hi than that in the open group [ （52.59±14.57） h] （P 〈 0.05 ）. The postoperative hospital stay was shorter in the laparoscopic group [ （ 5.17±2.12 ） d ] than that in the open group [ （6.88±1.58） d] （P 〈0.05）. The decrease of hemoglobin after surgery was less in the laparoscopic group [ （ 15.59 ±9.33 ） g/L] than that in open group [ （22.47±9.55 ） g/L ]（ P 〈 0. 05 ）. Conclusions： Lapa,＇oscopie myomectomy for large hysteromyoma is safe and reliable with short hospital stay and rapid recovery.