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目的:探讨腹腔镜子宫肌瘤剥出术(Laparoscopic myomectomy,LM)的可行性及临床应用价值。方法:对2007年1月～2010年12月于慈溪市人民医院就诊的135例子宫肌瘤患者进行回顾性研究,其中开腹手术治疗组60例,腹腔镜手术治疗组75例,比较分析两组患者的围手术期情况。结果:腹腔镜组手术时间(113.74±29.42)min、术中出血量(137.53±46.39)ml、肛门排气时间(18.49±7.48)h、静脉应用抗生素时间(2.52±0.59)天及术后出院时间(5.83±1.24)天,明显短于开腹组〔分别为(175.39±36.56)min、(237.46±52.43)ml、(38.76±9.26)h、(5.86±1.73)天和(9.65±3.26)天〕,差异有统计学意义(P<0.05);两组患者术中、术后均无并发症发生,术中均未发生与穿刺及气腹有关的并发症及其他术中意外,所有病例均无术后病率,术后切口均甲级愈合。结论:腹腔镜子宫肌瘤剥出术是年轻子宫肌瘤患者理想的手术方式。
Objective: To investigate the feasibility and clinical value of laparoscopic Laparoscopic myomectomy (LM). Methods: A retrospective study was performed on 135 patients with uterine fibroids who were treated in Cixi People’s Hospital from January 2007 to December 2010, including 60 cases of laparoscopic surgery and 75 cases of laparoscopic surgery. Group of patients perioperative situation. Results: The laparoscopic operation time (113.74 ± 29.42) min, intraoperative blood loss (137.53 ± 46.39) ml, anal exhaust time (18.49 ± 7.48) h, intravenous antibiotic time (2.52 ± 0.59) days and postoperative discharge (5.83 ± 1.24) days, (5.86 ± 1.73) days and (9.65 ± 3.26) days, respectively, which were significantly shorter than those in the open group (5.83 ± 1.24 days vs 175.39 ± 36.56 minutes, 237.46 ± 52.43 days, 38.76 ± 9.26 days, Day〕, the difference was statistically significant (P <0.05). There was no complications during operation and postoperative in both groups. No complications related to puncture and pneumoperitoneum and other intraoperative accidents occurred during operation. All cases No postoperative morbidity, postoperative wounds were grade A healed. Conclusion: Laparoscopic myomectomy is the ideal surgical treatment for patients with uterine fibroids.