两种子宫肌瘤剔除术的临床对照研究

目的 比较腹腔镜手术与开腹手术治疗子宫肌瘤的临床效果.方法 用病例对照研究方法 分析笔者所在医院2006～2010年腹腔镜子宫肌瘤剔除术（腹腔镜组,n=127）与开腹子宫肌瘤剔除术（开腹组,n=94）患者的临床资料.结果 腹腔镜组微创手术的出血量、住院时间、术后排气时间、手术后病率及术后下床活动时间均低于开腹组,而手术时间长于开腹组,差异均有统计学意义.结论 腹腔镜下子宫肌瘤剔除术与剖腹手术相比具有明显优势.

Clinical control study on uterus myomectomy in the treatment of uterine myoma

Objective To compare the clinical efficiency of laparoscopic myomectomy（LM） with that of the abdominal hysterectomy in the treatment of uterine myoma. Methods Using Case - control study to analyise the clinical data of 127 cases treated by laparoscopic hysteromyomectomy （LM group ）and 94 cases treated by the abdominal hysterectomy （Control group）. Results The blood loss and recovery time of LM group is less than Control group, but the average duration of operatioan is longer（P 〈0. 05）. Conclusion The laparoseopic hysteromyomectomy（LM）has obvious more superiorities than the abdominal hysterectomy.