两种术式在子宫肌瘤剔除术中的临床对比研究

Clinical comparative study on two surgical methods in myomectomy

目的:观察比较腹腔镜手术与传统开腹手术在子宫肌瘤剔除术中的临床效果。方法:选择126例子宫肌瘤剔除术患者分为腹腔镜手术组74例和传统开腹手术组52例,观察比较两组患者术中和术后情况。结果:两组患者手术时间比较差异无统计学意义(P>0.05);腹腔镜组患者术中出血量(123.5±15.4)ml明显少于开腹组(152.1±28.6)ml,差异有统计学意义(P<0.05)。腹腔镜组排气时间、体温恢复时间、离床时间和住院时间均明显短于开腹组,差异有统计学意义(P<0.05)。结论:腹腔镜手术具有术中出血量少、术后恢复快的优点,但对术者的要求更高,临床采用哪种术式还需临床医师根据患者、医院的具体条件进行合理选择。

Objective： To observe the clinical efficacies of laparoscopic surgery and traditional laparotomy in myomectomy. Meth- ods： A total of 126 patients with hysteromyoma were selected and divided into laparoscopic surgery group （74 patients） and traditional lapa- rotomy group （52 patients） ; the intraoperative and postoperative conditions in the two groups were observed and compared. Results： There was no statistically significant difference in the operation time between the two groups （P 〉 0. 05） ; the amount of intraoperative bleeding in laparoscopic surgery group was （123.5 ± 15.4） ml, which was statistically significantly less than that in traditional laparotomy group [ （ 152. 1 ±28.6） ml] （P 〈0. 05） ; the anal exhausting time, recovery time for temperature to normal, the time leaving bed, and hospitali- zation time in laparoscopic surgery group were statistically significantly shorter than those in traditional laparotomy group （P 〈 0. 05） . Con- clusion： Laparoscopic surgery has the advantages of less intraoperative blood loss and rapid postoperative recovery, but it requires higher level of operators. The surgical methods should be selected reasonably according to the specific conditions of the patients and hospitals.