腹腔镜与开腹子宫肌瘤切除术的对比研究 |
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引用本文: | 尹国武,李怡,杨华光,牛力春,赵宏喜. 腹腔镜与开腹子宫肌瘤切除术的对比研究[J]. 陕西医学杂志, 2010, 39(4): 475-477 |
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作者姓名: | 尹国武 李怡 杨华光 牛力春 赵宏喜 |
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作者单位: | 1. 第四军医大学唐都医院妇产科,西安,710038 2. 中国人民解放军323医院妇产科 |
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摘 要: | 目的:评价腹腔镜子宫肌瘤切除术的临床应用价值。方法:选取行腹腔镜子宫肌瘤切除术(LM)40例,与同期经腹子宫肌瘤切除术(TAM)43例进行对照分析,对手术时间、术中出血量、术后肛门排气时间及术后住院日等进行对比。结果:LM组手术时间(96.24±36.35min),与TAM组(60.12±15.32min)比较,LM手术时间较TAM长,差异有显著性(P<0.01);术后肛门排气时间(18.62±5.61h)及术后住院日(5.54±1.80d)均较TAM组肛门排气时间(22.45±8.32h)及术后住院日(7.62±2.07d)缩短,差异有极显著性(P<0.01);LM组术中出血量(124.88±54.46ml)与TAM组(112.67±66.48ml)无显著统计学差异(P>0.05)。结论:腹腔镜子宫肌瘤切除术具有创伤小、术后恢复快等优点,是一种安全、可行的理想术式。
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关 键 词: | 子宫肿瘤/外科学 腹腔镜检查 |
A comparative research between laparoscopic and trans-abdominal myomectomy |
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Affiliation: | Department of Obstetrics and Gynecology,Forth Military Medical University (Xi’an 710038) Yin Guowu Li Yi Yang Huaguang et al |
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Abstract: | 0bjective:To investigate the clinical value of laparoscopic myomectomy. Methods:A retrospective comparative research was made on clinical data(such as operation time, blood loss , time of passage of gas by anus ,hospital stay) of 40 cases of laparoscopic myomectomy(LM) and 43 cases of trans-abdominal myomectomy (TAM) from January 2006 to January 2009. Results:Only one case was converted to laparotom. The LM Group had significantly longer operation time(96.24±36.35) min than the TAM Group(60.12±15.32 ) min (P0.O1),shorter hospital stay(5.54±1.80) d than the TAM Group(7.62±2.07) d (P0.O1),shorter time of passage of gas by anus(18.62±5.61) d than that of the TAM group (7.62±2.07) d . There were statistical differences between two groups (P0.01). The blood loss was similar in the LM Group(124.88±54.46)ml and that in the TAM Group(112.67±66.48)ml (P0.O5).Conclusion: Laparoscopic myomectomy has advantages of fast recovery,short hospital stay,and low complication rate,LM can be an ideal procedure for myomectomy. |
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Keywords: | Uterine neoplasms/surgery Laparoscope |
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