腹腔镜与开腹子宫肌瘤剔除术的临床比较

目的总结腹腔镜下行子宫肌瘤剔除术的临床价值。方法将138例子宫肌瘤患者随机分为腹腔镜组（68例）和开腹组（70例），分别行子宫肌瘤剔除术，并对手术和术后患者恢复情况进行比较。结果腹腔镜组虽然手术时间比开腹组长，但术中出血少，术后恢复怏，住院时间短，并且术后在疼痛、肛门排气及复发率方面均优于开腹组。结论子宫肌瘤无腹腔镜手术禁忌证患者，应首选腹腔镜手术治疗，因为腹腔镜手术与开腹手术相比，不但具有术中出血少、住院时间短、术后恢复快等优点，而且术后复发率低，且费用也少。

Comparative analysis on laparoseopic myomectomy and open myomectomy

Objective To summarize clinical value of laparoseopie myomeetomy. Methods 138 patients with uterine myomeetomy were divided into laparoseopie myomeetomy（ n = 68 ） and open myomeetomy （n = 70）. Surgical conditions and postoperative recovery were compared in patients of two groups. Results Although laparoseopie surgery took longer than open surgery, but less bleeding and quicker recovery, shorter hospital stay and the postoperative pain, anal discharge and reeurrenee rates were better than the open surge .ry. Conclusion For uterine fibroids patients without eontraindieations of laparoseopie surgery, laparoseopie surgery should be preferred, because laparoseopie myomeetomy compared with open myomeetomy not only with less blood loss, shorter hospital stay, quick recovery, but also with low recurrence rate and less costs.