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目的比较腹腔镜与传统开腹术切除子宫肌瘤的临床效果,从而制订更合理的术式。方法对58例腹腔镜下进行子宫肌瘤剔除术(腹腔镜组)和93例经开腹行子宫肌瘤剔除术(开腹组)的患者进行回顾分析,比较两组患者的手术用时、出血量、术后恢复时间以及并发症发生情况。结果腹腔镜组手术耗时较开腹组长(P<0.05),但术中出血量显著少于开腹组(P<0.05);腹腔镜组术后恢复较开腹组快(P<0.05);两组术后并发症比较差异无统计学意义(P>0.05)。结论腹腔镜下剔除子宫肌瘤虽然耗时长,但术中出血量少,术后恢复时间短,可以推广应用,但要注意病例的选择。
Objective To compare the clinical effects of laparoscopy and traditional open surgery in the treatment of uterine fibroids, so as to formulate more reasonable surgical procedures. Methods Fifty-eight patients undergoing laparoscopic myomectomy (laparoscopic group) and 93 patients undergoing laparoscopic myomectomy (open group) were retrospectively analyzed. Bleeding was compared between the two groups when surgery was performed Volume, postoperative recovery time and the incidence of complications. Results Laparoscopic surgery took more time than laparotomy (P <0.05), but the amount of bleeding during operation was significantly less than that of laparotomy (P <0.05) There was no significant difference in postoperative complications between the two groups (P> 0.05). Conclusions Although laparoscopic hysterectomy is a long-term procedure, there is less intraoperative blood loss and shorter postoperative recovery time, which can be widely applied. However, we should pay attention to the choice of cases.