腹腔镜下与开腹子宫肌瘤剔除术的近期临床效果与安全性分析

The Analysis of Recent Clinical Efficacy and Safety of Laparoscopic and Open Myomectomy

目的比较腹腔镜下与开腹子宫肌瘤剔除术的近期临床效果。方法回顾性分析31例行腹腔镜下子宫肌瘤剔除术患者(观察组)和31例行开腹子宫肌瘤剔除术患者(对照组)的临床资料。结果两组患者平均肌瘤个数与最大肿瘤直径比较,差异无统计学意义(P>0.05)。与对照组相比,观察组手术时间长,术中出血量少,术后排气时间、住院时间短,术后并发症少,差异均有统计学意义(P<0.05)。结论腹腔镜下子宫肌瘤剔除术创伤小,恢复快。

Objective The recent clinical efect comparison of laparoscopic and open myomectomy. Methods A retrospective analysis of 31 cases of laparoscopic myomectomy （observation group） and 31 cases of open myomectomy （control group） clinical data. Results The average number of myoma patients in the two groups and the maximum diameter of the tumor, there was no statistically signifcant diference （P 〉 0.05）. Compared with the control group, the observation group had longer operation time, less blood loss, shorter postoperative exhaust time, shorter hospital stay, less postoperative complications, and the differences were statistically significant （P 〈 0.05）. Conclusion Laparoscopic myomectomy has the advantages of small trauma, quick recovery.