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目的比较腹腔镜与传统开腹术行子宫肌瘤切除术的临床效果。方法将253例子宫肌瘤患者按随机原则分为治疗组127例和对照组126例。治疗组采用腹腔镜子宫肌瘤切除术,对照组采用传统开腹手术切除子宫肌瘤。观察2组手术时间、术中出血量、术后肛门排气时间、住院时间等情况。结果治疗组手术时间、术后肛门排气时间、住院时间均短于对照组,术中出血量与对照组相比量少,差异均有统计学意义(P<0.05),治疗组术后肌瘤残留率、复发率均低于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜子宫肌瘤切除术临床效果较为显著,术中创伤小,术后患者恢复快,对机体的损伤小,明显优于传统开腹手术,值得临床推广应用。
Objective To compare the clinical effects of laparoscopic versus traditional open surgery in the treatment of myomectomy. Methods A total of 253 patients with uterine fibroids were randomly divided into treatment group (127 cases) and control group (126 cases). The treatment group was treated with laparoscopic myomectomy and the control group with conventional laparotomy for uterine fibroids. Two groups were observed operation time, intraoperative blood loss, postoperative anal exhaust time, hospitalization time and so on. Results The operation time, postoperative anal exhaust time and hospital stay were shorter in the treatment group than those in the control group. The amount of bleeding in the treatment group was smaller than that in the control group (P <0.05) Residual tumor rate and recurrence rate were lower than the control group, the difference was statistically significant (P <0.05). Conclusions The clinical effect of laparoscopic myomectomy is obvious. The trauma is small and the patients recover quickly after operation. The damage to the body is smaller than traditional laparotomy, which is worthy of clinical application.