不同术式特殊部位子宫肌瘤剔除术的临床效果比较

目的：探讨腹腔镜手术治疗特殊部位子宫肌瘤的临床应用价值。方法：比较68例腹腔镜下特殊部位子宫肌瘤剔除术（观察组）和39例腹式特殊部位子宫肌瘤剔除术（对照组）的手术时间、术中出血量、肛门排气时间、术后住院日及术后病率。结果：两组手术均获成功，术中无1例发生周围邻近器官损伤。两组手术时间、术中出血量、肛门排气时间、术后住院日及术后病率依次为：观察组（113±13.7）min、（99±11.9）mL、（33.4±6.3）h、（5.3±0.8）d、8.8%，对照组（83±7.2）min、（124±15）mL、（54±9.6）h、（7.2±0.6）d、20.5%。两组患者的手术时间、术中出血量、肛门排气时间、术后住院日及术后病率比较，差异均有统计学意义（P〈0.05）。结论：腹腔镜治疗特殊部位子宫肌瘤疗效显著，具有创伤小、住院时间短、恢复快等优点，如果具有熟练的腹腔镜操作技术，腹腔镜下特殊部位子宫肌瘤剔除术安全可行。

A Comparative Study of Clinical Effects for Different Myomectomy with Privileged Site Uterus Myoma

Objective：To investigate the feasibility of Laparoscopic myomectomy with privileged site uterus myoma. Method：A total of 107 patients with privileged site uterus myoma were divided into two groups：observer group （Laparoscopic myomectomy,68 cases）and control group（Abdominal myomectomy,39 cases）. The operation duration, blood lose in operation,postoperative anal exhaust time,postoperative retention period in hospital and postoperative morbidity were observed and compared. Result：All cases were performed successfully. No injury occurred around the adjacent organs. Observer group：the operation duration（113±13.7）min,blood lose in operation（99±11.9）mL, postoperative anal exhaust time（33.4±6.3）h,postoperative retention period（5.3±0.8）d and postoperative morbidity 8.8%;control group：（83±7.2）min,（124±15）mL,（54±9.6）h,（7.3±0.6）d,20.5%. There were significant differences between operation duration,blood lose in operation,postoperative anal exhaust time,postoperative retention period in hospital and postoperative morbidity（P〈0.05）. Conclusion：Laparoscopic myomectomy is effective in treating privileged site uterus myoma,with less trauma,shorter hospital stay and quicker recovery. If you have skilled laparoscopic operation technique,laparoscopic myomectomy with privileged site uterus myoma is feasible and safe.