不同子宫肌瘤剜除术的临床比较

Clinical Comparison of Different Myomectomy Surgery

目的:比较腹腔镜与传统开腹手术行子宫肌瘤剜除术的优缺点。方法:回顾分析本院2008年1月-2010年12月子宫肌瘤剜除术患者356例的临床资料,其中178例行腹腔镜手术,178例行开腹手术,比较分析两组手术时间、术中出血量及术后恢复情况。结果:腹腔镜组术中出血量、手术时间、术后住院时间、肛门排气时间明显好于开腹组。结论:腹腔镜子宫肌瘤剜除术具有创伤小、康复快、住院时间短等优点,但对术者的技术水平和器械要求较高,而肌瘤个数较多及较大的子宫肌瘤仍需要开腹剜除,合理选择术式是手术成功的关键。

Objective：To compare of advantages and disadvantages of laparoscopic and traditional laparotomy in myomectomy surgery.Method：356 cases of myomectomy surgery were retrospectively analyzed,178 cases of laparoscopic surgery,178 cases of abdominal surgery clinical information.Operating time,blood loss during surgery and postoperative recovery were compared.Result：Intraoperative blood loss,operative time,postoperative hospital stay,flatus of laparoscopic group was significantly better than those of traditional laparotomy group.Conclusion：Laparoscopic myomectomy has the advantages of less trauma,faster recovery,shorter hospital stay,but require a higher level of technology and equipment of the surgery,while the the fibroids number of more and larger uterine fibroids still need to open abdominal enucleation,a reasonable choice of surgical procedures is the key to successful operation.