78例腹腔镜下子宫肌瘤剔除术的临床分析

目的 分析讨论腹腔镜下子宫肌瘤剔除术临床价值、手术相关并发症及处理原则. 方法 整群选取该院2013年1月—2015年3月期间收治的78例行腹腔镜下子宫肌瘤剔除术患者作为观察组病例,同期选取50例行开腹子宫肌瘤剔除术患者作为对照组病例;比较两组手术时间、术中出血量、术后排气时间及住院时间等.结果 观察组术中出血量、术后排气时间及住院时间值依次为(62.7±5.8)mL,(29.4±2.6)h,(5.2±0.8)d,均较对照组显著降低(P﹤0.05);两组患者均痊愈后出院,术后无严重并发症发生. 结论 腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤疗效较为理想,具有创伤小、恢复快、住院时间短等优势.

Clinical Analysis of 78 Cases with Laparoscopic Myomectomy

Objective To analyze and discuss the clinical value, complications related operation and processing principle of laparoscopic myomectomy. Methods 78 cases of patients with laparoscopic myomectomy treated in our hospital from Jan-uary 2013 to March 2015 were selected as the observation group, 50 cases of patients with abdominal myomectomy treated in the same period were selected as the control group, the operation time, intraoperative blood loss, postoperative exhaust time and length of time of the two groups were compared. Results The intraoperative blood loss, postoperative exhaust time and length of time in the observation group were (62.7±5.8)ml,(29.4±2.6)h and (5.2±0.8)d in turn, which were obviously decreased compared with those in the control group, (P﹤0.05), two groups of patients left hospital after recovery, there was no serious complication after operation. Conclusion Laparoscopic myomectomy in treatment of fibroid has an ideal curative effect with advantages of small trauma, quick recovery and short length of time.