腹腔镜子宫肌瘤剔除术42例疗效分析

The effect analysis of 42 cases of laparoscopic myomectomy

目的 探讨腹腔镜子宫肌瘤剔除术的临床疗效。方法 将75例子宫肌瘤患者按数字表法随机分为研究组42例（采用腹腔镜下子宫肌瘤剔除术）和对照组33例（采用常规开腹子宫肌瘤切除术）。记录两组患者的术中出血量、肠道功能恢复时间和术后住院时间等相关指标并比较。结果 研究组的术中出血量、肠道功能恢复时间和术后住院时间分别为（111.50±19.38）ml、（17.76±3.64）、（4.95±0.54）d,明显少于对照组的（131.15±27.85）ml、（31.64±5.70）h、（7.12±1.08）d（t=3.60、12.81、11.35,均P〈0.01）。结论 腹腔镜子宫肌瘤剔除术具有创伤小、恢复快和住院时间短等优点,充分显示微创手术的优势,具有临床推广和应用价植。

Objective To explore the clinical effect of laparoscopic myomectomy.Methods According to the digital table method,75 myoma patients were divided into the study group（42 cases received laparoscopic myomectomy）and the control group（33 cases received transabdonmial myomectomy）.The operation time,the time of intestinal function recovery,the amount of bleeding and the postoperative hospital stay time of the two groups were recorded and compared.Results The amount of bleeding,the time of intestinal function recovery and the postoperative hospital stay time of the study group were （111.50±19.38）ml,（17.76±3.64）,（4.95±0.54）d,respectively,which were significantly less than those of the control group[（131.15±27.85）ml,（31.64±5.70）h,（7.12±1.08）d]（t=3.60,12.81,11.35,all P〈0.01）.Conclusion Laparoscopic myomectomy has the advantages of less trauma,quicker recovery,shorter hospitalization time etc,so it is worthy of promotion and application in clinic.