腹腔镜与开腹子宫肌瘤剜除术的临床疗效比较

目的比较腹腔镜与开腹子宫肌瘤剜除术的临床疗效。方法选取2011年1月～2013年1月期间我院收治的子宫肌瘤患者80例,分为两组,其中腹腔镜组40例行腹腔镜子宫肌瘤剜除术,对照组40例行开腹子宫肌瘤剜除术,比较两组患者的术中出血量、手术时间、术后排气时间、住院时间及并发症情况。结果腹腔镜组与对照组术中出血量、手术时间、术后排气时间、住院时间组间比较,差异存在统计学意义（54.8±6.1 mL、125.9±28.7min、22.1±3.4 h、4.6±0.9 d vs 96.2±12.8 mL、62.4±11.8 min、37.9±6.2 h、7.3±1.2 d,t=11.258、21.587、6.715、3.136,P〈0.05）。腹腔镜组并发症的发生率达5.0%,明显低于对照组,差异具有显著性（P〈0.05）。结论腹腔镜下子宫肌瘤剜除术较传统开腹手术具有出血少、创伤小、住院时间短、并发症少等优点,值得临床广泛推广和应用。

Comparison of the clinical efficacy of laparoscopic and open surgery in treatment of myomectomy

Objective To compare the clinical efficacy of laparoscopic and open Myomectomy. Methods Eighty cases patients with uterine fibroids in our hospital were divided into two groups,40 cases of uterine fibroids took laparoscopic enucleation, the control group 40 cases of uterine fibroids abdominal enucleation,the blood loss,operative time,postoperative discharge time,hospital stay and complications were compared. Results The blood loss, operative time,postoperative discharge time,hospital stay of difference between groups was statistically significant（54.8±6.1 mL,125.9±28.7 min,22.1±3.4 h,4.6±0.9 d vs 96.2±12.8 mL,62.4±11.8 min,37.9±6.2 h,7.3±1.2 d,t=11.258,21.587,6.715,3.136,P0.05）. The complications of laparoscopic group was 5.0%,was significantly lower than the control group（P〈0.05）.Conclusion Laparoscopic myomectomy surgery over traditional open surgery with less bleeding, less trauma, shorter hospital stay, fewer complications,worthy of widely promotion and application.