摘要
目的对比开腹手术和腹腔镜下治疗多发性子宫肌瘤的临床效果。方法回顾性分析我院2007年1月-2008年12月收治的子宫肌瘤患者临床资料,选取其中32例多发性子宫肌瘤行腹腔镜子宫肌瘤切除术(腹腔镜组),选取同期28例多发性子宫肌瘤行开腹手术(开腹组),比较两组患者的手术时间、肌瘤剔除个数、术中出血量、肛门排气时间、镇痛剂使用例数、复发率、住院时间和并发症发生率;评定两组的临床疗效。结果腹腔镜组的术中出血量、肛门排气时间、镇痛剂使用例数以及住院时间均优于开腹组(P<0.05);腹腔镜组的手术时间长于开腹组(P<0.05);两组肌瘤剔除个数、术后复发率以及并发症比较差异无统计学意义(P>0.05)。结论腹腔镜下治疗多发性子宫肌瘤的临床效果优于传统的开腹治疗,值得在临床中推广应用。
Objective To compare the clinical efficacy of myomectomy in laparotomy and laparoscopic surgery to cure multiple uterine fibroids. Methods The clinical materials of 60 patients with uterine fibroids hospitalized in Maternal and Child Health Hospital of Hubei from January,2007 to December,2008 were retrospectively analyzed.They were divided into the group of myomectomy by laparotomy（laparotomy group,n=28） and the laparoscopy-assisted myomectomy group（laparoscopy group,n=32）.The operative time,the number of fibroids removed,blood loss,anal exhaust time,the number of patients using analgesics,the recurrence rate,length of hospital stay and complication rates were compared between the two groups.And the clinical efficacy of the two groups was assessed. Results The blood loss,anal exhaust time,the number of patients using analgesics,the hospital stay in laparoscopic group were better than those in laparotomy group（P0.05）.The operative time was longer in laparoscopic group compared to laparotomy group（P0.05）.There was no statistically significant difference in the number of fibroids removed,complications and recurrence rate between the two groups（P0.05）. Conclusions The clinical efficacy of laparoscopic myomectomy surgery is better than that of myomectomy by laparotomy,and it is worth to widely apply in the clinical practice.
出处
《实用预防医学》
CAS
2011年第5期863-864,共2页
Practical Preventive Medicine
关键词
多发性子宫肌瘤
腹腔镜
开腹手术
临床分析
Multiple uterine fibroids
Laparoscopy
Laparotomy
Clinical analysis
