摘要
目的:对比分析腹腔镜与开腹子宫肌瘤切除术的临床效果。方法:回顾分析2006年5月至2010年10月为128例患者施行腹腔镜及开腹子宫肌瘤切除术的临床资料,肌瘤直径最大8 cm,数量1～5枚。腹腔镜组68例,开腹组60例,分析两组患者手术时间、术中出血量、术后恢复情况。结果:腹腔镜组与开腹组手术时间分别为(92.53±46.58)min和(87.36±30.45)min,差异无统计学意义(P>0.05)。腹腔镜组术中出血量平均(97.32±42.33)ml,明显少于开腹组的(132.46±46.53)ml(P<0.05),腹腔镜组术后体温恢复时间、排气时间、术后住院时间分别为(0.09±0.28)d、(6.30±3.41)h、(3.79±0.63)d,开腹组分别为(2.15±0.75)d、(30.12±10.32)h、(7.23±1.11)d,两组差异有统计学意义(P<0.05)。结论:直径<8 cm的子宫肌瘤行腹腔镜切除术安全有效,具有术中出血少、术后疼痛轻、康复快等优点。
Objective： To comparatively analyze the clinical effect between laparoscopic myomectomy （LM） and abdominal myomectomy（AM）. Methods：A retrospective analysis was performed on the clinical data of 128 patients with hysteromyoma, who underwent LM and AM from May 2006 to Oct. 2010 . The largest diameter of myoma was 8 cm,and the number was 1 to 5.68 cases underwent LM and 60 cases AM. The operative time,intraoperative blood loss and postoperative recovery in the two groups were compared. Results ： The operative time of LM group and AM group were （ 92.53 ± 46.58 ） min and （ 87.36±30.45 ） min, respectively. There was no significant difference between them （P 〉 0.05 ）. The intraoperative blood loss in LM group was （97.32±42.33 ） ml, which was less that AM group （ 132.46 ±46.53） ml （P 〈 0.05 ）. In LM group, postoperative body temperature recovery time, the time of passage of gas by anus and postoperative hospital stay were （0.09±0.28 ） d, （ 6.30±3.41 ） h and （ 3.79 ±0.63 ） d, respectively ; in AM group, they were （2.15v0.75 ） d, （30.12 ±10.32） h and （7.23 ± 1.11 ） d,respectively. The time of the LM group were significantly shorter than those of the AM group （ P 〈 0.05 ）. Conclusions ： LM has the advantage of little intraoperative blood loss and rapid postoperative recovery ,and it is safe ,effective and minimally invasive for the myomas whose diameter are less than 8 era.
出处
《腹腔镜外科杂志》
2011年第9期644-646,共3页
Journal of Laparoscopic Surgery
作者简介
李卫民（1972-）女，北京市平谷区医院妇科微创中心主任，副主任医师，主要从事妇产科方面的研究。
