腹腔镜剔除术治疗子宫肌瘤103例疗效分析

Study on laparoscopic hysteromyomectomy in treatment of hysteromyoma: a report of 103 cases

目的探讨腹腔镜子宫肌瘤剔除术的手术方法、技巧、术后疗效及临床应用价值。方法对比分析腹腔镜子宫肌瘤剔除术103例(腹腔镜组)与开腹子宫肌瘤剔除术100例(开腹组)的手术方法和临床效果。结果腹腔镜组与开腹组平均手术时间无明显差异(P>0.05);但术中平均出血量,术后体温恢复时间,术后肛门排气时间,术后病率,术后住院时间均有明显差异(P<0.01)。结论腹腔镜子宫肌瘤剔除术具有创伤小、术中出血少、术后恢复快及住院时间短的优势,子宫肌瘤的腹腔镜手术无疑是一种保留器官的理想术式。

Objective To explore the surgical methods,techniques,curative effect and clinical value of laparoscopic hysteromyomectomy.Methods The 103 patients with laparoscopic hysteromyomectomy and 100 patients with open hysteromyomectomy were investigated retrospectively.The surgical methods and the clinical dates were compared.Results The operation time was no significant difference（P〈0.05）.The blood loss,postoperative temperature recovery time,postoperative ventilation time,postoperative morbidity and postoperative hospital stay were significant difference（P〈0.01）.Conclusion Laparoscopic and laparoscopic-assisted hysteromyomectomy is a ideal operation with organ retained for less trauma,less bleeding,rapid postoperative recovery and shorter hospital stay in treatment of hysteromyoma.