腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术临床疗效分析

Clinical efficacy comparison: laparoscopic myomectomy and abdominal myomectomy

目的:研究腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术临床疗效。方法:选择2008年1月～2012年1月我院接诊的152例子宫肌瘤患者进行研究。按照随机数表法,将患者随机分为实验组和对照组两组,每组各76例患者。实验组采用腹腔镜下子宫肌瘤剔除术对患者进行手术,对照组采用传统的开腹子宫肌瘤剔除术进行治疗。结果:治疗后,发现实验组患者的术中出血量明显少于对照组(P<0.05),实验组患者的手术时间、排气时间以及住院时间明显短于对照组(P<0.05),且实验组患者并发症的发生率(6.6%)明显低于对照组(30.3%),两组比较有显著性差异(P<0.05)。结论:腹腔镜下子宫肌瘤剔除术临床效果良好,值得临床推广应用。

Objectives： To compare the clinical efficacy between laparoscopic myomectomy and abdominal myomectomy. Methods： 152 patients with uterine fibroid from January 2008 to January 2012 were studied. The patients were randomly divided into the experimental group and the control group, 76 patients in each group. The experimental group were treated with laparo- scopic myomectomy, the control group were treated with abdominal myomectomy. Results： The bleeding volume of the experi- mental group patients was significantly less than that of the control group （ P 〈 0.05 ）. The surgery time, exhaust time and hospi- ial stay of the experimental group were significantly shorter than those of the control group （ P 〈 0. 05 ）. The incidence rate of complications of the experimental group patients （ 6. 6% ） was significantly lower than that of the control group （ 30. 3% ） （ P 〈 0.05 ）. Conclusions： Laparoscopie myomectomy is worthy of clinical application.