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目的探讨腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术的临床疗效。方法回顾分析84例腹腔镜子宫肌瘤剔除术与126例经腹子宫肌瘤剔除术的临床资料,比较两种手术方式的手术时间、术中出血量、肌瘤剔除个数、抗生素使用天数、肛门排气时间、下床活动时间、术后感染率、住院时间及术后康复时间等情况。结果两组患者接受子宫肌瘤剔除术手术顺利。腹腔镜组术中出血量及剔除肌瘤个数均少于开腹组,差异有统计学意义(P<0 05)。腹腔镜组术后肛门排气时间、术后感染率、术后离床活动时间及术后住院时间及术后康复时间明显少于开腹组,差异显著(P<0.05)。结论腹腔镜下子宫肌瘤剔除术损伤小,恢复快,住院时间短,是一种保留子宫的理想术式,值得推广。
Objective To investigate the clinical efficacy of laparoscopic myomectomy and abdominal myomectomy. Methods The clinical data of 84 cases of laparoscopic myomectomy and 126 cases of abdominal myomectomy were retrospectively analyzed. The operation time, blood loss, number of myomectomy, days of antibiotic use were compared between the two methods. Anus exhaust time, bedtime activity, postoperative infection rate, hospital stay, and postoperative recovery time. Results The two groups of patients underwent uterine myomectomy successfully. The amount of blood loss and the number of fibroids removed in the laparoscopic group were less than those in the open group, and the difference was statistically significant (P<0 05). The postoperative anal ventilation time, postoperative infection rate, postoperative bedtime and postoperative hospital stay and postoperative recovery time were significantly less in the laparoscopic group than in the open group (P<0.05). [Conclusion] Laparoscopic myomectomy has the advantages of little injury, quick recovery and short hospital stay. It is an ideal surgical method for uterus preservation and worthy of promotion.