开腹与腹腔镜多发性子宫肌瘤剔除术临床疗效分析

目的：评估腹腔镜下多发性子宫肌瘤剔除术的疗效及安全性。方法将多发性子宫肌瘤50例随机分为腹腔镜组30例，行腹腔镜下多发性子宫肌瘤剔除术，术中B超监测协助定位肌壁间瘤体，防止漏挖。开腹组20例行开腹多发性子宫肌瘤剔除术。结果腹腔镜组术后平均进软食时间（28．10±3．57）h，术中出血（144．91±46．97）ml，VAS疼痛评分（2．33±0．98）。开腹组术后平均进软食时间（52．30±7．45）h，术中出血（199．76±63．21）ml，VAS疼痛评分（5．40±0．91）。两组比较差异有统计学意义（P＜0．05）。结论腹腔镜下多发性子宫肌瘤剔除术临床疗效满意，术中术后并发症少，恢复快，成为临床治疗多发性子宫肌瘤的首选方法。

Analysis of clinical effect of open and laparoscopic multiple uterine myomectomy

Objective To evaluate the efficacy of laparoscopic multiple uterine fibroids rejecting operation and safety .Meth-ods 50 patients with multiple uterine fibroids were randomly divided into laparoscopy group of 30 cases,multiple lines of laparoscopic uterine flesh tumour removed ,intraoperative ultrasound monitoring muscle intramural help locate tumors ,to prevent leakage .Open group of 20 multiple uterine fibroids eliminate routine laparotomy surgery .Results Laparoscopic surgery after an average of （28.10 ±3.57） h soft diet time,intraoperative bleeding was （144.91 ±46.97）ml,VAS pain score was （2.33 ±0.98）.Open operation after an average of （52.30 ±7.45）h soft diet time,intraoperative bleeding was （199.76 ±63.21）ml,VAS pain score was （5.40 ±0.91）.There was significant difference between two groups （P〈0.05）.Conclusion Laparoscopic multiple uterine fibroids perioperative clinical cura-tive effect is satisfied ,less intraoperative complications ,rapid recovery ,become the preferred method in the clinical treatment of multiple uterine fibroids .