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腹腔镜辅助子宫壁间肌瘤剔除术的临床研究
引用本文:王晓雷,秦玉静,夏明静,杜建英,孙国巨. 腹腔镜辅助子宫壁间肌瘤剔除术的临床研究[J]. 中国医疗前沿, 2010, 5(23): 5-6,59
作者姓名:王晓雷  秦玉静  夏明静  杜建英  孙国巨
作者单位:山东省威海市妇女儿童医院,264200
摘    要:目的探讨腹腔镜辅助腹壁切口子宫壁间肌瘤剔除术的临床应用价值。方法将威海市妇女儿童医院妇科2006年1月~2009年12月需行子宫壁间肌瘤剔除术的患者267例分为三组,其中42例行AM术、96例行LM术、129例行LAM术。观察三组患者的手术时间、术中出血量、剔除肌瘤数量、肌瘤大小、术后恢复情况包括术后排气、术后镇痛、术后病率、住院时间及术后复发等。结果 LM及LAM组术中出血量、术后病率、术后镇痛、排气时间及住院时间等均明显优于AM组(P〈0.05)。但剔除肌瘤数量、肌瘤大小、手术时间及术后复发率,LAM及AM组均明显优于LM组(P〈0.05)。结论 LAM术既保留了LM的所有优点,又使子宫重建达到AM的手术标准,操作简单、安全易掌握,值得在临床上推广应用。

关 键 词:腹腔镜  辅助  腹壁切口  子宫壁间肌瘤

The clinical significance of laparoscopic assisted with small incision myomectomy for intramural hysteromyoma
WANG Xiao-lei,QIN Yu-jing,XIA Ming-jing,et al.. The clinical significance of laparoscopic assisted with small incision myomectomy for intramural hysteromyoma[J]. China Healthcare Innovation, 2010, 5(23): 5-6,59
Authors:WANG Xiao-lei  QIN Yu-jing  XIA Ming-jing  et al.
Affiliation:WANG Xiao-lei,QIN Yu-jing,XIA Ming-jing,et al.Department of Obstetrics and Gynecology,Weihai municipal Maternal and child hospital,Weihai 264200,China
Abstract:Objective To explore the Clinical Significance of laparoscopic assisted with small incision myomectomy for intramural hysteromyoma.Methods Two hundred sixty-seven pateints with hysteromyoma from Jan.2006 to Sep.2009 in Weihai Maternal and child hospital were randomized into three groups.42cases were treated with AM(Abdominal mectomy).96 cases were treated with LM(laparoscopic myomectomy).129 cases were treated with LAM(laparoscopic assisted with small incision hysteromyomectomy).To analyze the differences o...
Keywords:Laparoscopy  Assistant  Mini-laparotomy  Intramural hysteromyoma  
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