经腹与经腹腔镜子宫肌瘤剔除术的对比分析

Abdominal and Laparoscopic Uterine Fibroids Eliminate Contrast Analysis

目的:比较经腹子宫肌瘤剔除术(TAM)和腹腔镜子宫剔除术(LM)的临床效果和特点。方法:回顾性分析2012年1月-2014年5月在笔者所在医院行经腹或腹腔镜子宫肌瘤剔除术的98例患者临床资料,按手术形式分为TAM组和LM组,其中TAM组67例,LM组31例。对比分析两组患者的手术时间、手术中出血量、住院日期以及术后恢复情况。结果:TAM组的手术时间平均为(82.2±25.1)min,短于LM组平均时间(86.3±37.5)min,两组比较差异无统计学意义(P>0.05);TAM组手术中出血量平均为(152.7±81.6)ml,多于LM组平均出血量(114.2±60.8)ml,两组比较差异有统计学意义(P<0.05);TAM组术后住院时间平均为(6.3±2.2)d,长于LM组的(4.6±1.2)d,差异有统计学意义(P<0.05);TAM组术后排气时间平均为(26.7±4.9)h,长于LM组的(17.1±2.2)h,差异有统计学意义(P<0.05)。结论:TAM适应证较为广泛,不受肌瘤部位和大小限制;LM手术出血少、术后恢复快、创伤小,具体操作中,根据患者具体情况选择手术方法。

Objective：To compare the abdomen uterus myoma eliminating technique（TAM） and laparoscopic uterine strip（LM） clinical effect and characteristics.Method：The clinical data of 98 patients were retrospective analysed from January 2012 to May 2014 in our hospital or laparoscopic uterine fibroids eliminate abdominal surgery,according to the operation forms they were divided into TAM and LM group,TAM group of 67 cases,31 cases in LM group.Two groups of patients of operation time,intraoperative blood loss,hospital dates,and postoperative recovery were compared.Result：TAM group operation time averaged was（82.2±25.1）min,average time was shorter than LM group（86.3±37.5）min,there was no statistically significant difference in the two groups（P〈0.05）.TAM group intraoperative blood loss was average（152.7±81.6）ml,average blood loss was more than LM group（114.2±60.8）ml,differences between the two groups was statistically significant（P〉0.05）,TAM median postoperative hospital stay was（6.3±2.2）d,it was longer than LM group（4.6±1.2）d,differences between the two groups was statistically significant（P〈0.05）.Postoperative exhaust time averaged TAM group was（26.7±4.9）h,iy was longer than LM group（17.1±2.2）h,differences between the two groups was statistically significant（P〈0.05）.Conclusion：TAM is wider indications,without being limited by the fibroids location and size.LM is less bleeding,quick recovery,small trauma surgery,in the concrete operation,surgical methods on the basis of the condition of the patients.