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腹腔镜下子宫肌瘤剔除术68例临床分析 被引量:29

Clinical analysis on 68 cases treated with laparoscopic myomectomy
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摘要 目的:探讨腹腔镜下子宫肌瘤剔除术的临床效果。方法:回顾性分析2008年6月~2009年12月腹腔镜下子宫肌瘤剔除术68例(腹腔镜组)临床资料,随机选取同期开腹子宫肌瘤剔除术68例(开腹组)进行对比分析。比较两组术中出血量、肌瘤大小、手术时间、术后恢复情况、术后抗生素应用时间及术后住院天数。结果:两组术中出血量、手术时间比较差异无统计学意义(P>0.05)。腹腔镜组术后肛门排气时间、术后抗生素应用时间、术后离床活动时间及术后住院天数比开腹组少,差异有统计学意义(P<0.05)。结论:腹腔镜下子宫肌瘤剔除术和开腹子宫肌瘤剔除术相比具有创伤小、恢复快等特点,是一种值得推广的微创手术。 Objective:To explore the clinical effect of laparoscopic myomectomy.Methods:The clinical data of 68 patients receiving laparoscopic myomectomy(laparoscope group) from June 2008 to December 2009 were analyzed retrospectively,68 patients receiving transabdominal myomectomy(laparotomy group) at the same time were selected randomly for comparison and analysis.The amounts of blood loss during operation,the sizes of hysteromyoma,the operation times,the recovery situations after operation,the application times of postoperative antibiotics and hospitalization times after operation in the two groups were compared.Results:There was no significant difference in the amount of blood loss during operation and operation time between the two groups(P0.05).The anal exhaust time after operation,the application time of postoperative antibiotics,the time of ambulation after operation and the hospitalization time after operation in laparoscope group were significantly shorter than those in laparotomy group(P0.05).Conclusion:Compared with transabdominal myomectomy,laparoscopic myomectomy has the advantages of minimal wound and rapid recovery,which is a minimally invasive surgery and worthy to be popularized.
出处 《中国妇幼保健》 CAS 北大核心 2011年第18期2854-2855,共2页 Maternal and Child Health Care of China
关键词 子宫肌瘤 腹腔镜下子宫肌瘤剔除术 开腹子宫肌瘤剔除术 Hysteromyoma Laparoscopic myomectomy Transabdominal myomectomy
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