腹腔镜辅助腹壁小切口行子宫肌瘤剔除术30例临床分析

Clinical Analysis of 30 Cases with Laparoscopically Assisted Myomectomy with Abdominal Mini-incision in the Treatment of Hysteromyoma

目的:探讨腹腔镜辅助腹壁小切口行子宫肌瘤剔除术(LAM)在治疗子宫肌瘤方面的安全性及可行性。方法:选取2013年12月-2014年7月笔者所在医院收治的60例子宫肌瘤患者进行回顾性分析对比。试验组30例采用腹腔镜辅助腹壁小切口行子宫肌瘤剔除术(LAM),对照组30例采用常规腹腔镜行子宫肌瘤剔除术(LM),记录观察对照两组的手术时间、术中出血量、术后引流量和术后患者疼痛情况等临床结果。结果:成功完成手术60例,试验组30例,对照组30例。除其中1例检查结果为肉瘤,在腹腔镜下行全子宫切除术外,其余均无并发症及副损伤发生。试验组患者平均手术时间、平均出血量、术后平均引流量均显著少于对照组,两组比较差异均有统计学意义(P<0.05)。术后6 h,两组患者应用止痛药比例比较差异无统计学意义(P>0.05)。结论:腹腔镜辅助腹壁小切口行子宫肌瘤剔除术是安全可行的,可简化术中缝合操作,特别是对于多发性子宫肌瘤及巨大子宫肌瘤的剔除手术,更加具有优势。

Objective：To study the relationship of laparoscopically assisted myomectomy（LAM） with abdominal mini-incision in the treatment of hysteromyoma.Method：60 patients with hysteromyoma from December of 2013 to July 2014 were randomized into the LAM group ang the LM group with 30 cases in each group.patients in LAM group underwented LAM with abdominal mini-incision,while patients in the LM group underwented LM.The operation time,blood loss during operation,complications and postoperative recovery of the two groups were compared.Result：The average operation time in the LAM group was less than the LM group. The bleeding loss during operation in the LAM group was less than the LM group. The difference between the two groups was statistically significant（P〈0.05）.No statistical differences were found in average temperature severe complications between two groups（P〉0.05）.Conclusion：It is safe and feasible to laparoscopically assisted myomectomy（LAM）.LAM can implify the operation of suture,especially for the large tumors.