开腹手术与腹腔镜手术在子宫肌瘤剔除术中的疗效观察

目的：探讨开腹手术与腹腔镜手术子宫肌瘤剔除术的临床效果。方法：将127例子宫肌瘤患者随机分为LM组（腹腔镜手术组）64例和TAM组（开腹手术组）63例,分析对比两组患者的术中、术后情况。结果：两组手术均获成功。LM组：平均手术时间为（115±25）min,术中失血量为（150.8±180.5）ml,术后肛门平均排气时间为（17.8±4.1）h,术后平均住院时间为（3.4±0.8）d,术后病率为7.81%;TAM组：平均手术时间为（110±30）min,术中失血量为（245.1±281.1）ml,术后肛门平均排气时间为（40.2±12.5）h,术后平均住院时间为（6.6±0.8）d,术后病率为41.27%,与TAM组比较：术中失血量、术后病率、术后肛门平均排气时间、术后平均住院时间等资料差异有统计学意义（P〈0.05）。结论：腹腔镜手术创伤小、效果好,能取代大部分开腹子宫肌瘤。

Effect observation of laparotomy and laparoscopic surgery in myomectomy

Objective：To investigate the laparotomy and laparoscopy myomectomy clinical effects.Methods：127 cases of uterine fibroids were randomly divided into the LM group（laparoscopic surgery group） 64 cases and TAM group（laparotomy group） 63 cases,analyzed and compared the two groups of patients with postoperative situation.Results：There were all successful.LM group mean operation time was（115±25） min,blood loss was（150.8±180.5） ml,anal exhaust time average was（17.8±4.1） h,mean postoperative hospital stay was（3.4±0.8） d,postoperative morbidity was 7.81%;TAM Group：The average operation time was（110±30） min,blood loss was（245.1±281.1） ml,anal exhaust time average was（40.2±12.5） h,mean postoperative hospital stay was（6.6±0.8） d,postoperative morbidity was 41.27%,compared with the TAM group：intraoperative blood loss,postoperative morbidity,anal exhaust time average,mean postoperative hospital stay,there was significant difference（P0.05）.Conclusion：Laparoscopic surgical trauma,effective,can replace most of the abdominal uterine fibroids.