腹腔镜下子宫肌瘤剔除术疗效观察

Efficacy observation on laparoscopic myomectomy

目的探讨腹腔镜下子宫肌瘤剔除术的疗效。方法选取2009年1月-2011年1月我院收治的子宫肌瘤患者共160例，随机分为实验组和对照组各80例，实验组行腹腔镜下子宫肌瘤剔除术及全身麻醉，对照组行开腹子宫肌瘤剔除术及腰硬联合麻醉。结果两组患者的手术时间差异无显著性（P〉0．05）两组患者的术中出血量（38．0±32．3minvs64．0±47．2min）、肛门排气时间（18．1±3．6）hvs（28．7±5．1）h、术后离床活动时间（14．8±3．9）hvs（30．2±6．4）h、术后发热率（12．50％vs31．25％）、体温恢复正常时间（1.3±0．6）dvs（3．0±0．7）d及住院时间（4．7±1．6）dvs（7．2±1．3）]d差异均有显著性（P〈0．05），说明实验组患者的治疗效果明显优于对照组。结论腹腔镜下子宫肌瘤剔除术是安全可行的，与传统开腹手术相比优点很多，值得在临床上推广应用。

Objective To explore the effect of rejecting hysteromyoma under laparoscope. Methods 160 patients of hysteromyoma from Jan 2009 to Jan 2011 were randomly divided into two groups. The experiment group was rejected hysteromyoma under laparoscope and treated with general anesthesia. The control group was rejected hysteromyoma with celiotomize and treated with eombined spinal anesthesia. Results There was no significant difference in the diverse of operation time in two groups （P〉 0.05）. The amount of intraoperative bleeding [（38.0 ± 32.3） min vs （64.0 ± 47.2） min], time of passage of gas by anus [（18.1 ±3.6） h vs （28.7 ± 5.1） h], time of post-op activity leaving bed [（14.8 ± 3.9） h vs （30.2 ± 6.4） h], post-op fever rate（12.50% vs 31.25%）, time of recovering normal body temperature [（1.3 ± 0.6） d vs （3.0 ± 0.7） d）]and length of stay [（4.7 ± 1.6） d vs （7.2 ± 1.3） d] of 2 groups had significant difference（P〈 0.05）. Conclusions The hysteromyoma-rejection under laparoscope is safe and effective, having many advantages compared with common celiotomy operation.