腹腔镜与开腹手术行子宫肌瘤剔除术的临床对比研究

Clinical comparative study of laparoscopic and open operation line myomectomy

目的探讨腹腔镜与开腹手术行子宫肌瘤剔除术的临床疗效。方法选择2008年10月至2012年4月收治的90例子宫肌瘤患者为研究对象,随机分为两组,腹腔镜组行腹腔镜子宫肌瘤剔除术,对照组行开腹子宫肌瘤剔除术,比较两组术中、术后情况与并发症情况。结果 90例患者均成功完成手术,腹腔镜组患者手术时间略高于开腹组,但差异无统计学意义(P>0.05)。腹腔镜组患者术中出血量、体温恢复时间、排气时间和住院天数均优于对照组,组间比较差异均有统计学意义(P<0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论腹腔镜子宫肌瘤剔除术临床疗效优于传统开腹手术,具有创伤小、恢复快和并发症少等优点。

Objective To explore the clinical efficacy of laparoscopic and open operation line myo- mectomy. Methods From October 2008 to April 2012 in our hospital, 90 cases of uterine myoma patients as the object of study, were randomly divided into two groups, the laparoscopic group to laparoscopic myo- mectomy, the control group to open myomectomy, compared two groups of intraoperative, postoperative con- ditions and complications. Results 90 patients were successfully completed the operation, the operation time of laparoscopic group was slightly higher than the control group, but the difference has no satistically significance （ P 〉 0. 05 ）. The amount of intraoperative bleeding, body temperature recovery time, discharge time and length of hospital stay of the laparoscopic group were superior to the control group, the difference between the two groups has satistically significance （ P 〈 0.05 ）. The complication rate difference between the two groups has no satistically significance （P 〉 0. 05 ）. Conclusions Laparoscopic myomectomy clini- cal curative effect is better than traditional open operation, which has small trauma, rapid recovery and fe- wer complications.