腹腔镜下直接旋切法行子宫肌瘤剔除术的临床疗效观察

Observation of Clinical Curative Effect on Direct Rotary Cutting Method of Laparoscopic Myomectomy

目的腹腔镜下直接旋切法行子宫肌瘤剔除术的临床效果及安全性。方法选取我科2013年01月一2014年06月,要求行腹腔镜子宫肌瘤剔除术患者65例,随机分为观察组32例和对照组33例,治疗组在腹腔镜下直接旋切法行子宫肌瘤剔除术;观察组行常规腹腔镜下子宫肌瘤剔除术。比较两组手术时间、术中出血量以及术后肛门排气时间、术后发热情况有无差异。结果所有患者均在腹腔镜下完成手术,无一例中转开腹,术中及术后均未出现严重并发症。两组在手术时间、术中出血量、术后肛门排气时间、术后发热方面比较,差异有统计学意义(P<0.05)。随访1年,两组均未发现肌瘤复发。结论改良式腹腔镜下直接旋切法行子宫肌瘤剔除术可行且较安全,副作用较小。

Objective Clinical effect and safety of laparoscopic myomectomy with direct rotary cutting method. Methods he 65 patients whoasked for laparoscopic myomectomy from Jan. 2013 to Jun. 2014 are selected and randomly divided into two groups： one of 32 cases as the observation group and another of 33 cases as the control group. Myomectomy done laparoscopically with direct rotary cutting method is conducted on the treatment group; and conventional laparoscopic myomectomy is conducted on the observation group. And then,a comparison is made between the two groups in duration of operation, amount of bleeding during operation, anal exhaust time after operation and fever after the operation. Results All patients receive the operation under thelaparoscope without a single case of conversion to laparotomy and no onset of serious complicationsduring and after the operation. The differences induration of operation,amount of bleeding during operation, anal exhaust time after operation and fever after the operation are all of statistical significance（P〈0.05）. After follow- up visit for one year, there is not a single case of all the patients in the two groups suffering relapse. Conclusion Reformed laparoscopic myomectomy with direct rotary cuttingmethod？isfeasibleand safety with fewer sideeffects.