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目的探讨腹腔镜下子宫肌瘤剔除术的临床疗效。方法选取某院80例诊断为子宫肌瘤的患者,随机分为实验组和对照组,每组40人。实验组给予腹腔镜下手术治疗,对照组给予开腹手术治疗。分析2组患者的手术时间、术中出血、住院时间、住院费用及肛门排气时间、肠鸣音恢复及术后并发症的发生等情况。结果 2组的术中出血分别为(26.3±5.6)ml、(40.6±2.8)ml,t=14.44,P﹤0.05;住院时间分别为(3.6±2.5)d、(7.2±1.6)d,t=7.67,P﹤0.05;肛门排气时间分别为(12.3±3.1)h、(15.2±1.4)h,t=5.93,P﹤0.05;肠鸣音恢复时间分别为(14.3±2.4)h、(16.5±1.7)h,t=4.73,P﹤0.05。结论经腹腔镜手术下行子宫肌瘤剔除术具有较好的临床效果,患者术中出血、住院时间、肛门排气时间、肠鸣音恢复时间均较开腹组少。
Objective To investigate the clinical efficacy of laparoscopic myomectomy. Methods 80 patients diagnosed as uterine fibroids in a hospital were randomly divided into experimental group and control group with 40 in each group. The experimental group was given laparoscopic surgery and the control group was given laparotomy. The operation time, intraoperative bleeding, hospitalization time, hospitalization expenses and anus exhaust time, bowel sounds recovery and postoperative complications were analyzed. Results The intraoperative bleeding rates in the two groups were (26.3 ± 5.6) ml, (40.6 ± 2.8) ml, t = 14.44, P <0.05 respectively. The hospital stay were (3.6 ± 2.5) days, = 7.67, P <0.05; anal exhaust time were (12.3 ± 3.1) h, (15.2 ± 1.4) h, t = 5.93, P <0.05; bowel sounds recovery time was (14.3 ± 2.4) 16.5 ± 1.7) h, t = 4.73, P <0.05. Conclusions Laparoscopic myomectomy has a good clinical effect. The intraoperative bleeding, hospital stay, anal exhaust time and bowel sounds recovery time are less than those in the laparotomy group.