论文部分内容阅读
目的:对治疗子宫肌瘤时,分别采用腹腔镜手术与开腹手术,比较两种手术的临床疗效;方法:从我院2016年2月-2017年2月收治子宫肌瘤患者80例为研究对象,将患者随机划分成开腹治疗组和腹腔镜治疗组,每一组40例,比较两组手术时间、出血量、体温情况以及住院天数等;结果:经过治疗后,两组患者全部治愈,未发生手术并发症,腹腔镜手术时间(133±25)min,开腹时间(106±14)min;腹腔镜术中出血量(56±34)ml,手术后下床活动时间是(2.5±1.0)d,住院平均天数(5.5±3.0)d;开腹组术中出血量(136±12)ml,手术后下床活动时间是(6±2.5)d,住院平均天数(10.2±2.5)d;两组时间比较差异具备统计学意义,(P<0.05);结论:腹腔镜手术与开腹手术相比,前者手术难度比较大,手术时间比较长,对手术医生具有较高要求,但是腹腔镜手术的创伤小、术后并发症较少、患者恢复比较快等各种优点,值得临床上大量推广。
Objective: To treat the uterine leiomyoma, respectively, laparoscopic surgery and laparotomy, and compare the clinical curative effect of the two kinds of surgery.Methods: From February 2016 to February 2017 in our hospital admitted 80 cases of uterine fibroids for the study Subjects were randomly divided into laparotomy group and laparoscopic treatment group, 40 cases in each group. The operation time, blood loss, body temperature and hospitalization days were compared between two groups. Results: After treatment, both groups were completely cured (133 ± 25) min, laparotomy time (106 ± 14) min; laparoscopic bleeding volume (56 ± 34) ml, time to bed ambulation after surgery was (2.5 ± 1.0) d, mean duration of hospital stay was (5.5 ± 3.0) d, blood loss during operation was (136 ± 12) ml in open group, (6 ± 2.5) days after operation, ) d. There was significant difference between the two groups in time (P <0.05). CONCLUSION: Compared with open surgery, laparoscopic surgery is more difficult and time-consuming, which has higher requirements for surgeons. However, laparoscopic trauma surgery less postoperative complications less rapid recovery of patients and other advantages, it is worth a lot of clinical promotion.