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[目的]探讨腹腔镜下巨大子宫肌瘤剔除术的可行性、安全性。[方法]51例要求保留子宫的巨大子宫肌瘤(肌瘤直径7~11cm)患者纳入研究。腹腔镜手术26例,开腹手术25例,并对其临床资料进行分析,评价两组出血量、手术时间、术后肛门排气恢复时间、术后疼痛、术后住院天数。[结果]两组手术均取得成功,无一例发生并发症。腹腔镜组手术时间长于开腹组,腹腔镜组术后2级以上疼痛发生率、肛门排气恢复时间、住院时间均优于开腹组。[结论]腹腔镜下巨大子宫肌瘤剔除术具有微创手术的优点,安全可行。
[Objective] To investigate the feasibility and safety of laparoscopic giant myomectomy. [Method] Fifty-one patients with huge uterine fibroids (fibroids 7 ~ 11cm in diameter) were recruited for the study. Laparoscopic surgery in 26 cases, laparotomy in 25 cases, and clinical data were analyzed to assess the amount of bleeding in two groups, operation time, postoperative anal exhaust time, postoperative pain, postoperative hospital stay. [Results] All the operations were successful in both groups, with no complications. The operation time of laparoscopic group was longer than that of laparotomy group. The incidence of postoperative laryngoscopy more than grade 2 pain, anal exhaust recovery time and hospital stay were all better than that of laparotomy group. [Conclusion] Laparoscopic myomectomy has the advantages of minimally invasive surgery and is safe and feasible.