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目的探讨腹腔镜子宫肌瘤剔除术的临床效果。方法随机选取2004年6月至2006年6月在我院行腹腔镜子宫肌瘤剔除术226例与同期开腹子宫肌瘤剔除术224例进行对比分析,对术中及术后情况进行比较。结果腹腔镜组与开腹组术中出血量相比差异无统计学意义(P>0.05),腹腔镜组手术时间较开腹组长,差异有统计学意义(P<0.05),腹腔镜组术后肛门排气时间、术后发热率、术后离床活动时间及术后住院时间与开腹组差异均有统计学意义(P<0.05)。结论腹腔镜子宫肌瘤剔除术创伤小、术后恢复快、术后并发症少,是一种值得推广应用的微创术式。
Objective To investigate the clinical effect of laparoscopic myomectomy. Methods From June 2004 to June 2006, 226 cases of laparoscopic myomectomy and 224 cases of open myomectomy at the same period were compared in our hospital, and the intraoperative and postoperative conditions were compared. Results There was no significant difference in the amount of bleeding between laparoscopic group and laparotomy group (P> 0.05). The laparoscopic group had longer operative time than laparotomy group (P <0.05), laparoscopic group Postoperative anal exhaust time, postoperative fever, postoperative time to bed movement and postoperative hospital stay and open group differences were statistically significant (P <0.05). Conclusions Laparoscopic myomectomy is a minimally invasive technique that is worth popularization and application with less trauma, faster recovery and less postoperative complications.