腹腔镜和开腹手术治疗子宫肌瘤的对照研究

目的比较腹腔镜和开腹手术治疗子宫肌瘤的效果。方法取近4年中128例子宫肌瘤患者随机分为腹腔镜手术组和开腹手术治疗组，对两组手术时间、术中出血量、手术并发症、排气时间、停留尿管时间、术后恢复情况及疾病复发进行比较分析。结果腹腔镜组手术时间和术中出血明显长于开腹手术组，排气时间、停留尿管时间、住院时间和术后并发症明显低于开腹手术组，术中出血量与开腹组比较无显著差异。结论对临床上腹腔镜和开腹手术治疗子宫肌瘤优缺点进行归纳比较，获得的结论对于子宫肌瘤治疗方法的选择具有重要的参考价值。

Laparoscopic and open surgery control study of treatment of uterine fibroids

Objective To control study of treatment of uterine fibroids were on laparoscopic and open surgery. Methods Take 128 cases of uterine fibroids in the past four years, they were randomly assigned to laparoscopic surgery group and the open surgery group. Two groups of operating time, blood loss, surgical complications, Exhaust time, stay catheter time, postoperative recovery and disease recurrence were comparative analysed. Results The laparoscopic group operative time and blood loss were significantly higher than laparotomy group. Exhaust time, stay catheter time,length of stay and postoperative complications were significantly lower than open surgery group. Conclusion The clinical laparoscopic and open surgery for treatment of uterine fibroids are summarized the advantages and disadvantages. The obtained conclusions f has important reference value to the choice of treatment for uterine fibroids.