腹腔镜子宫肌瘤剔除术和开腹肌瘤剔除术的对比研究

The clinical comparative analysis of laparoscopy myomectomy and abdominal myomectomy

目的:对比开腹子宫肌瘤剔除术和腹腔镜下子宫肌瘤剔除术的临床效果。方法:选择行子宫肌瘤剔除术患者64例,随机分为开腹组(34例)和腹腔镜组(30例),比较两组手术时间、术中出血量及术后剔除肌瘤直径、术后排气时间、住院时间等围术期情况。结果:开腹组手术时间低于腹腔镜组(P<0.05);而腹腔镜组术中出血量少于开腹组(P<0.05),术后剔除肌瘤直径、术后排气时间、住院时间均少于开腹组(P<0.05)。结论:腹腔镜下子宫肌瘤剔除术的临床效果优于传统的开腹手术,是子宫肌瘤剔除术中更具前景的微创技术。

Objective： To compare the clinical effects of laparoscopy myomectomy and abdominal myomec- tomy. Methods：Select 64 patients to operate with laparoscopy myomectomy and divide them randomly into laparoto- my group （34 cases） and laparoscopie group （30 cases）. Compare operating time, blood loss, and perioperative sta- tus, for example, postoperative diameter of removed myoma, exsufflation time after surgery, and hospitalization time. Results：The operating time of laparotomy group was shorter than that in laparoseopic group （P〈0.05） ;the blood loss of laparoscopic group was less than that in laparotomy group （P〈0.05）, and the postoperative diameter of removed myoma and exsufflation time of laparoscopic group were also less than that in laparotomy group （P〈0. 05）. Conclusion：The clinical effects of laparoscopy myomectomy is superior to the traditional abdominal myomecto- my, and it will be the more promising technique in myomectomy, with minimal invasion.