腹腔镜子宫肌瘤切除术与开腹手术的疗效比较

目的:评价腹腔镜与传统开腹手术行子宫肌瘤切除术的优缺点。方法:回顾分析子宫肌瘤切除术56例中,腹腔镜手术22例,开腹手术34例的临床资料,比较分析两组手术时间、术中出血量及术后恢复情况。结果:腹腔镜组术中出血量,术后应用止痛药、发热时间、住院时间、抗生素使用时间明显好于开腹组,但腹腔镜手术时间长于开腹组。结论:腹腔镜子宫肌瘤切除术具有患者创伤小、康复快、住院时间短等优点,但对术者的技术水平和器械要求较高,尚不能完全取代开腹手术,合理选择术式是手术成功的关键。

Comparison of therapeutic effect between laparoscopic myomectomy and laparotomy

Objective:To evaluate the advantages and disadvantages of laparoscopic myomectomy and open myomectomy.Methods:The clinical data of 56 cases who underwent myomectomy were retrospectively analyzed.There were 22 cases of laparoscopy and 34 cases of laparotomy.The operative time,blood loss and postoperative recovery of two groups were compared and analyzed.Results:The operative blood loss,postoperative use of analgetica,time of fever,hospitalization and use of antibiotics in laparoscopic group were much better than that in open group.But operative time of laparoscopic group was longer than open group.Conclusions:Compared with traditional laparotomy,laparoscopic myomectomy has a lot of advantages,such as little trauma,quick recovery and short hospitalization.But laparoscopy needs higher technique of surgeon and better operative apparatus,and can't completely replace laparotomy.Properly choosing operative type is essential for success of operation.