腹腔镜下子宫肌瘤剔除术可行性分析

目的通过开腹和腹腔镜两种术式比较，探讨腹腔镜下子宫肌瘤剔除术的手术方法、适应证、术后疗效及临床应用价值。方法回顾性分析2007年5月至2009年5月我院收治的子宫肌瘤要求保留子宫的患者104例，其中59例采用腹腔镜下子宫肌瘤剔除术（研究组）；45例采用开腹子宫肌瘤剔除术（对照组），比较两种手术方式的术中出血量、手术时间、术后通气时间、术后住院天数和术后病率。结果研究组59例中，56例成功实施了腹腔镜手术，且术中出血量少、术后通气早、术后病率低、住院天数少，与对照组相比，差异有显著性（P〈0．05）；两组术中出血量相比差异无显著性（P〉0．05）。结论腹腔镜下子宫肌瘤剔除术术中出血少，术后恢复快，住院时间短，值得临床推广应用，但需严格掌握手术指征。

Study on laparoscopic hysteromyomectomy in the treatment of uterinemyoma

Objective To explore the cheractervistic such as indication, curative effect and clinical value of laparoscopic hysteromyomectomy as atreatment of uterus myoma compare with the abdominal hysterectomy.Methods There are 59 patients with laparoscopic hysteromyomectomyas and 45 patients with abdominal hysterectomy. from May 2007 to May 2009. We analysised the blood loss, operation time, postoperative ventilation time, postoperative hospital stay and postoperative morbidity between two groups retrospectively. Results The differences observed were statistically significant in the rusults of postoperative ventilation time, postoperative hospital stay and postoperative morbidity in the laparoscopic hysteromyomectomy, while the blood loss had no significant difference. Conclusion We suggest that laparoscopic hysteromyomectomyas is safe and feasible with little blood loss and short recovery in treating myoma.