经腹腔镜剔除子宫肌瘤75例效果分析

目的探讨腹腔镜下子宫肌瘤剔除术（LM）的临床效果。方法回顾性分析行腹腔镜下子宫肌瘤剔除术患者75例（腹腔镜组）与行开腹子宫肌瘤剔除术患者44例（开腹组）患者的临床资料,比较2组手术时间、术中出血量、术后排气时间及下床时间、术后病率、术后住院天数、住院费用、术后复发率及妊娠率等情况。结果所有手术患者均顺利完成。相比开腹组,腹腔镜组术后排气快,术后下床活动早,发生术后病率低,术后住院时间短,但住院费用高（P〈0.05）;2组手术时间及术中出血量比较差异无统计学意义。术后随访16-28个月,平均22个月。2组肌瘤复发率及妊娠率差异无统计学意义。结论腹腔镜子宫肌瘤剔除术安全有效、术后恢复快,熟练的手术操作技术以及合理的选择病例是手术成功的关键。

Objective To explore the clinical effcacy of hysteromyoma ectomy under laparoscope. Methods The clinical data of 75 cases of laparoscopic myomectmy （laparoscopic group） and abdominal myomectomy in 44 cases （abdominal group） were reviewed and analyzed. It is a comparative study of the two groups in operation time, blood loss, anal exhaust time, postoperative active time, postoperative morbidity, postoperative hospital stay and hospitalization cost, tumor recurrent rate and pregnancy rate. Results All operations were successfully performed. Compared with the abdominal group, laparoscope group were significantly shorter in the anal exhaust timem, postoperative active time, postoperative morbidity and postoperative hospital stay, but higher in hospitalization cost（P〈0.05）.There was no signifcant difference in the bleed volume and operation time. The patients were followed up for 16-28 months, average 22 months, there was no signifcant difference in the tumor recurrent rate and pregnancy rate. Conclusion Laparoscopic myomectomy is safe and effective, and has a faster postoperative recovery. Skillful operation technique and reasonable selection of patients is the key to a successful operation.