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目的探讨腹腔镜下子宫肌瘤切除与开腹子宫肌瘤切除的临床效果。方法对该院行腹腔镜下子宫肌瘤切除术的108例患者进行分析,并随机抽取该院同期行开腹手术治疗的105例患者进行对照。结果在手术时间比较中,对照组优于观察组,差异有统计学意义(P<0.01);两组术中出血量比较中差异有统计学意义(P>0.01)。在术后排气时间、下床活动时间、住院时间与不良反应发生率等比较中,观察组明显优于对照组,差异有统计学意义(P<0.01)。观察组均成功完成手术,无1例中转开腹。术后随访3～12个月,患者均恢复良好,复查B超显示子宫呈正常大小,无异常回声。结论腹腔镜可有效维持子宫正常功能,保留患者生育功能,有效减少出血和并发症发生,恢复快,明显提高了患者的治愈率,是治疗子宫肌瘤的有效术式,值得在临床推广。
Objective To investigate the clinical effect of laparoscopic myomectomy and laparoscopic myomectomy. Methods A total of 108 patients undergoing laparoscopic myomectomy in this hospital were analyzed and 105 patients undergoing laparotomy in the same hospital were randomly selected for comparison. Results In the comparison of operation time, the control group was superior to the observation group, the difference was statistically significant (P <0.01). There was significant difference between the two groups in the amount of bleeding during operation (P> 0.01). In the postoperative exhaust time, out of bed activity time, hospitalization time and the incidence of adverse reactions, the observation group was significantly better than the control group, the difference was statistically significant (P <0.01). The observation group were successfully completed surgery, no case of conversion to laparotomy. The patients were followed up for 3 to 12 months. The patients recovered well. The B-ultrasound showed normal size and no abnormal echo. Conclusion Laparoscopy can effectively maintain the normal function of the uterus, retain the patient’s reproductive function, effectively reduce the occurrence of bleeding and complications, recover quickly, and significantly improve the cure rate of patients. It is an effective surgical treatment of uterine fibroids and is worthy of clinical promotion.