48例腹腔镜子宫肌瘤剔除术的疗效观察

目的：观察腹腔镜子宫肌瘤剔除术的手术效果。方法：我院妇产科2007年12月～2010年12月行腹腔镜子宫肌瘤剔除术48例，与传统开腹手术子宫肌瘤切除术比较，观察比较两组的术中出血量（ml）、手术时间（min）、术后排气时间（h）、术后住院时间（d）、术后使用镇痛药（％）、术后发热（〉38℃以上）。结果：与对照组比较，腹腔镜组术中出血量明显减少，术后镇痛药使用率低，术后发热比率低，术后肛门排气时间、住院时间短（P〈0.05）。结论：腹腔镜子宫肌瘤切除术具有术中出血量少、住院时间短等许多优点，值得临床推广。

Laparoscopic myomectomy Efficacy

Objective： To observe the laparoscopic myomectomy outcome. Methods： From Obstetrics and Gynecology December 2007 - December 2010 laparoscopic myomectomy in 48 cases, with the traditional laparotomy myomectomy compared to observe and compare the two groups of blood loss （ml）, operation time （min）, after exhaust time （h）, postoperative hospital stay （d）, postoperative analgesic use （%）, postoperative fever （〉 38℃above）. Results： Compared with control group, the laparoscopic group was significantly less blood toss, postoperative analgesic use is low, low rate of postoperative fever, anal exhaust time, shorter hospital stay （P 〈0.05）. Conclusion： Laparoscopic myomectomy with less blood loss, shorter hospital stay and many other advantages and is worthy of promotion.