腹腔镜下子宫肌瘤剔除术与经腹子宫肌瘤剔除术的比较分析

A comparison of surgical outcomes between laparoscopic and laparotomy myomectomy

目的比较腹腔镜与开腹子宫肌瘤剔除术的疗效。方法比较腹腔镜下子宫肌瘤剔除术48例(腹腔镜组)、经腹子宫肌瘤剔除术38例(开腹组),2组患者的手术时间、术中出血量、术后排气时间、术后住院时间以及随访2年复发率。结果腹腔镜组的手术时间长于经腹组,但术中出血量、术后肛门排气时间及术后住院时间均短于经腹组,差异均有统计学意义(P<0.01)。腹腔镜组与经腹组的复发率分别为16.7%、15.8%,差异无统计学意义(x^2=0.012,P>0.05);腹腔镜组中术后2年不孕妊娠者7例(7/28,25.0%),经腹组6例(6/25,24.0%),两组不孕妊娠率,差异无统计学意义(x^2=0.007,P>0.05)。结论腹腔镜下子宫肌瘤剔除术与经腹手术相比具有创伤小、出血量少、术后恢复快及住院时间短等优点。

Objective To compare the clinical value of laparoscopic and laparotomy myomectomy.Methods A retrospectively study of the operation time,blood loss,hospital stay after operation,analexhaust time,and recurrences in 2 years followed-up time of laparoscope group（n=48）and open group （n=38）.Results The mean operative time of laparoscope group was longer than that of open group.But the mean blood loss,analexhaust time and hospital stay after operation of laparoscope group were shorter than hat of open group,the difference was statistically significant（P〈0.01）.In 2 years followed-up time,the recurrence rate of laparoscope group and open group were16.7%,15.8%,the difference was no statistically significant（P〉0.05）.The pregnancy rate after operation of laparoscope group and open group were 25.0%and24.0%,have no statistical significance（P〉0.05）.Conclusion Laparotomy myomectomy has advantage in blood loss and postoperative recovery.