腹腔镜与传统开腹子宫肌瘤切除术的临床效果比较

Clinical effect comparison of laparoscopic and traditional laparoscopic myomectomy

目的比较腹腔镜与传统开腹子宫肌瘤切除术的临床疗效。方法选择医院收治的行子宫肌瘤切除术的患者60例,根据手术方法不同分为试验组与对照组各30例,试验组行腹腔镜子宫肌瘤切除术,对照组行传统开腹子宫肌瘤切除术,比较2组患者的临床疗效。结果试验组患者术中出血量少于对照组,术后疼痛发生率低于对照组,切口甲级愈合率高于对照组,手术时间、肛门排气时间、发热时间及住院时间均短于对照组,差异均有统计学意义(P <0.05)。结论腹腔镜与传统开腹子宫肌瘤切除术均可获得一定效果,但腹腔镜子宫肌瘤切除术更具使用价值。

Objective To compare the clinical efficacy of laparoscopic and conventional open uterine myomectomy.Methods 60 patients who underwent hysteromyoma resection in the hospital were selected,According to the different surgical methods,they were divided into experimental group（30 cases） and control group（30 cases）.The experimental group underwent laparoscopic myomectomy,and the control group underwent conventional open uterine myomectomy,the clinical efficacy of the two groups was compared.Results The intraoperative blood loss of the experimental group was less than that of the control group,the postoperative analgesia rate was lower than that of the control group,the incision grade A healing rate was higher than that of the control group,the operation time,anal exhaust time,fever time,and hospitalization time were shorter than the control group,the differences were statistically significant（P〈0.05）.Conclusion Both laparoscopic and conventional open uterine myomectomy can achieve certain results,but laparoscopic myomectomy is more useful.