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目的 探讨腹腔镜下子宫肌瘤剔除术的临床应用价值。方法 对腹腔镜子宫肌瘤剔除术 (n =6 4 )与剖腹子宫肌瘤剔除术 (n =4 6 )两组患者临床特征、手术时间、术中出血量、术后体温正常例数、肠功能恢复时间和住院日进行对比分析。结果 两组患者年龄、肌瘤类型、子宫大小、肌瘤大小差异无显著意义 (P >0 0 5 ) ,手术时间、术中出血量、术后体温正常例数、肠功能恢复时间和住院日差异有显著意义 (P <0 0 5 )。结论 腹腔镜下子宫肌瘤剔除术与剖腹子宫肌瘤剔除术相比 ,具有创伤小、手术时间短、术中出血少、术后肠功能恢复快、住院日短和并发症少等优点 ,可替代剖腹子宫肌瘤剔除术。
Objective To investigate the clinical value of laparoscopic myomectomy. Methods The clinical features, operation time, intraoperative blood loss, number of postoperative normal body temperature, bowel myomectomy (n = 64) and laparotomy myomectomy (n = 46) Functional recovery time and hospitalization were comparative analysis. Results There were no significant differences in age, fibroid type, uterine size and fibroid size between the two groups (P> 0.05), operation time, intraoperative blood loss, normal postoperative body temperature, recovery time of intestinal function and hospital stay The difference was significant (P <0 05). Conclusion Laparoscopic myomectomy compared with cesarean myomectomy has the advantages of less trauma, shorter operative time, less intraoperative bleeding, faster recovery of postoperative intestinal function, shorter hospital stay and fewer complications. Replace cesarean section myomectomy.