腹腔镜与开腹子宫肌瘤剔除术疗效分析

目的:总结和探讨腹腔镜与开腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法:我院2010年6月至2011年6月行腹腔镜子宫肌瘤剔除术60例、开腹子宫肌瘤剔除术59例,比较两组手术时间、术中出血量、剔除肌瘤的个数、肌瘤的大小、住院时间、术后恢复情况。结果:两种手术时间无明显差异,开腹术组剔除肌瘤的数目和大小、住院时间、出血量多于腹腔镜组,排气时间长于腹腔镜组。结论:腹腔镜具有创伤小、术后住院时间短的优点,开腹手术具有剔除子宫肌瘤数目多,大小、深浅不限的优点,医生应根据患者的临床特征个体化选择治疗方式。

Efficacy analysis of laparoscopic myomectomy and trans abdominal myomectomy

Objective:To summarize and discuss clinical results of laparoscopic myomectomy and trans abdominal myomectomy in the treatment of uterine fibroids.Methods:60 cases of laparoscopic myomectomy and 59 cases of trans abdominal myomectomy in the hospital from June 2010 to June 2011 were reviewed.Operative time,blood loss,number of fibroids removed,size of fibroids,hospital stay and postoperative recovery were compared between two groups.Results:There’s no significant difference of operative time in two groups.Number and size of fibroids,hospital stay,blood loss and time of gas-pass post surgery in trans abdominal myomectomy group were more than in laparoscopic myomectomy group.Conclusion:Laparoscopic myomectomy is of less trauma,shorter postoperative hospital stay,trans abdominal myomectomy can remove more fibroids with different size and depth in uterus.Treatment should be selected according to individual patients.