腹腔镜及开腹行子宫肌瘤剜除术的疗效观察

Curative Effect Observation of Laparoscopy and Laparotomy Myomectomy Surgery

目的:探讨腹腔镜下子宫肌瘤剜除术与传统开腹手术疗效的差异。方法:回顾分析2010年9月-2013年9月来本院进行治疗的子宫肌瘤患者85例,其中50例患者给予腹腔镜子宫肌瘤剜除术为腹腔镜组,35例患者给予子宫肌瘤剜除术为开腹组,对两种手术方式的治疗效果进行比较。结果:腹腔镜组与开腹组相比,两组在手术时间、肠功能恢复时间、手术出血量以及术后发热等方面比较差异均有统计学意义(P<0.05);但两组在年龄、原有腹部手术史、住院时间及并发症上相比差异无统计学意义。结论:腹腔镜子宫肌瘤剜除术具有腹部切口小、术中失血量少、肠道功能恢复较快、疼痛程度轻等优点,是保留子宫并剜除子宫肌瘤的可行性选择,值得临床推广。

Objective：To investigate the differences between laparoscopic enucleation of uterine fibroids with traditional open surgery efficacy.Method：85 patients from September 2010 to September 2013 for treatment of uterine fibroids in our hospital were retrospective analyzed, of which 50 cases were treated with laparoscopic enucleation uterine fibroids for the laparoscopic group, 35 patients were given myomectomy surgery for the laparotomy group, then effect of two surgical methods treatment were compared.Result：Compared with the open group,operative time,recovery time of intestinal function,blood loss and postoperative fever in laparoscopic group had a significant difference（P〈0.05）; but age, the original history of abdominal surgery,length of stay and complications of the two groups had no difference.Conclusion：Laparoscopic myomectomy has advantages of less blood loss,faster recovery of intestinal tract, small abdominal incision,mild pain,is feasibility to preserve the uterus and myoma of uterus, is worth to promote in clinic.