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目的评价应用腹腔镜与传统开腹方式进行子宫肌瘤剔除术的优缺点。方法回顾分析应用传统开腹手术方法35例和应用腹腔镜技术30例进行子宫肌瘤剔除术的临床资料,对手术适应证、并发症和手术时间、住院费用、术中出血量以及术后恢复情况进行比较分析。结果腹腔镜手术时间较开腹手术组长,住院费用较开腹手术组高,差异有显著性(P<005);腹腔镜手术术中出血量、术后肛门排气时间、术后病率和术后住院时间均明显低于开腹手术组,差异有显著性(P<005)。30例病人均在腹腔镜下完成手术,无中转开腹及严重并发症。结论腹腔镜下子宫肌瘤剔除术较传统开腹手术具有创伤小、恢复快、住院时间短,术中、术后并发症少等优点,值得在有条件的医院广泛开展。
Objective To evaluate the advantages and disadvantages of laparoscopic and traditional laparotomy for myomectomy. Methods The clinical data of 35 cases of traditional open surgery and 30 cases of laparoscopic myomectomy were retrospectively analyzed. The surgical indications, complications and operation time, hospitalization expenses, intraoperative blood loss and postoperative recovery The situation carries on the comparative analysis. Results The time of laparoscopic surgery was longer than that of laparotomy, and the cost of hospitalization was significantly higher than that of laparotomy (P <0.05). The amount of bleeding during laparoscopic surgery, postoperative anal exhaust time, postoperative morbidity And postoperative hospital stay were significantly lower than the open surgery group, the difference was significant (P <005). Thirty patients underwent laparoscopic surgery without conversion to laparotomy and severe complications. Conclusions Laparoscopic myomectomy has the advantages of less trauma, faster recovery, shorter hospital stay, less intraoperative and postoperative complications than traditional laparotomy, and is worth carrying out extensively in hospitals with conditions.