腹腔镜子宫肌瘤剔除术的临床观察

目的探讨腹腔镜手术治疗子宫肌瘤的临床疗效,进一步指导临床。方法选取我院2011年1月至2013年12月收治入院的子宫肌瘤患者90例,按照随机自愿的原则,将患者分为两组,腹腔镜组50例和开腹组40例,观察两组的手术时间、术中出血量、肛门排气时间、住院时间以及术后并发症发生情况进行对比分析。结果腹腔镜组手术时间明显长于对照组,差异显著,具有统计学意义(P<0.05),腹腔镜组术中出血量、肛门排气时间、住院时间明显低于对照组,差异显著,具有统计学意义(P<0.05),且较少发生术后并发症。结论腹腔镜手术行子宫肌瘤剔除术疗效确切,具有创伤小、术中出血量少、恢复快,且并发症少等优点,值得临床推广应用。

Clinical Observation of Laparoscopic Myomectomy

Objective To investigate the clinical efficacy of laparoscopic operation in the treatment of uterine fibroids. Methods 90 patients with uterine fibroids in our hospital from January 2011 to December 201＂3 were divided into two groups, 50 cases in the laparoscopic group and 40 cases in the laparotomy group. Observation, the operation time, operative blood loss, anal exhaust time, hospitalization time and the rate of postoperative complications occurrence in two groups were analyzed. Results The operation time of the laparoscopic group was significantly longer than that of the control group （P〈0,05）, the operative blood loss, anal exhaust time, hospitalization time was significantly lower than those in the control group （P〈0.05）, and the rate of postoperative complications was less. Conclusion The efficacy of laparoscopic operation hysteromyomectomy is accurate, with less trauma, less bleeding, rapid recovery, and less complications, is worthy of clinical application.