腹腔镜与开腹子宫肌瘤切除术的临床对比研究

目的:比较腹腔镜和开腹子宫肌瘤切除术的临床效果。方法:回顾分析61例行腹腔镜下子宫肌瘤切除手术的患者与同期43例开腹子宫肌瘤切除手术患者的临床资料。结果:腹腔镜组术后体温恢复正常时间、肛门排气时间、生活恢复自理时间、住院时间均显著短于开腹组(P<0.01),术后使用止痛剂率显著低于开腹组,差异有统计学意义(P<0.001),两组术中出血量、手术时间、术后2年内妊娠率及复发率比较差异无统计学意义(P>0.05)。结论:腹腔镜子宫肌瘤切除术具有创伤小、术后康复快、疼痛轻等优点,安全有效。

The clinical comparative study on laparoscopic and open myomectomy

Objective:To compare the clinical comparative study on laparoscopic and abdominal myomectomy.Methods:To analyse the clinical data of 61 patients with laparoscopic myomectomy surgery and 43 patients abdominal myomectomy surgery.Results:The normal time of resume body temperature,evacuation time of anus,the time of live themselves,the time of inhospital in laparoscopic group was shorter than abdominal group(P<0.01).The unilization ratio in laparoscopic group was lower than abdominal group,there is statistical significance(P<0.01).The difference of amount of bleeding,the time of surgery,the pregnancy rate and recurernce rate between two groups is not obvious(P>0.05).Conclusion:Laparoscopic myomectomy surgery has little injury,resume quickly after surgery,little pain,and so on.It is safe and effective.Conclusion:Laparoscopic myomectomy the injury,quick recovery,less pain and the advantages of safe and effective.