腹腔镜与开腹子宫肌壁间肌瘤剔除手术的比较

Comparison of Laparoscopic and Open Surgery Treating in Intramural Myoma

目的:对比分析腹腔镜手术与开腹手术在剔除子宫肌壁间肌瘤中的临床疗效及其差异。方法:选取我院2010年3月至2011年3月间诊断和治疗的子宫肌壁间肌瘤患者72例,将患者分为两组,每组各36例,对照组患者进行常规开腹肌瘤剔除术,研究组采用腹腔镜手术方法进行手术。结果:研究组患者术中出血量(66.3 24.3vs97.6 45.2)和住院时间(7.4 1.6vs11.3 1.8)明显低于对照组,术后高热发生率5.56%明显低于对照组30.56%,两组数据经统计学比较具有显著差异(P<0.05);由于是微创手术,研究组手术时间(87.3 18.8 vs 67.4 8.7)稍长于对照组,两组患者术后并发症发生率无显著差异(P>0.05)。两组患者均于治疗1个月后恢复正常月经;术后3个月复查子宫肌壁,未出现复发。结论:腹腔镜手术比传统手术在治疗子宫肌壁肌瘤剔除术方面具有更好的治疗效果,而且具有更好的安全性。

Objective： To discuss the clinical difference and effects comparison of laparoscopic and open surgery treating in intramural myoma.Method： 72 cases were divided into two groups,each with 36 cases,who were diagnosed and treated in our hospital from Mar.2010 to Mar.2011.Patients in study group were treated by laparoscopy,and patients in control group were treated by open surgery. Result： The blood loss during treatment（66.3±24.3vs97.6±45.2） and hospital stay time（7.4±1.6vs11.3±1.8） of study group were significantly less than control group,the fever incidence of study group（5.56%） was significantly less than control group（30.56%）,the surgery time of study group was longer than control group（87.3±18.8 vs 67.4±8.7）,the data had significant difference by statistical comparison（P0.05）.The patients of two groups discovered normal menstrual after 1 month treatment,and were reviewed the uterus without recurrence after treatment of 3 months. Conclusion： Laparoscopic had better effect with open surgery and better safety treating in intramural myoma.