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目的探讨腹腔镜及阴式子宫肌瘤剔除术的临床应用价值。方法对2006年1月-2009年12月间腹腔镜(n=30)、阴式(n=30)与开腹(n=30)子宫肌瘤剔除术患者手术时间、术中出血量、术后体温恢复正常时间和住院日等进行对比分析。结果腹腔镜组及阴式子宫肌瘤剔除术手术时间长于经腹手术组,两组差异有统计学意义(P<0.05);腹腔镜组及阴式手术组术中出血量少于经腹手术组(P<0.05)。术后体温恢复正常时间腹腔镜组及阴式组短于开腹组(P<0.05)。腹腔镜组及阴式组术后住院时间短于开腹组(P<0.05)。结论腹腔镜及阴式子宫肌瘤剔除术具有创伤小、术中出血少、术后恢复快及住院时间短等优点,在掌握手术适应证的前提下值得推广应用。
Objective To investigate the clinical value of laparoscopic and vaginal myomectomy. Methods From January 2006 to December 2009, laparoscopic (n = 30), vaginal (n = 30) and open (n = 30) myomectomy patients underwent operation time, intraoperative blood loss, After the body temperature returned to normal and hospital stay for comparative analysis. Results Laparoscopic group and vaginal myomectomy were longer than ablation group, the difference was statistically significant (P <0.05); laparoscopic group and vaginal surgery group bleeding less than the number of abdominal surgery Group (P <0.05). Postoperative body temperature returned to normal laparoscopic group and vaginal group shorter than the open group (P <0.05). The postoperative hospital stay in laparoscopic and vaginal groups was shorter than that in open group (P <0.05). Conclusions Laparoscopy and vaginal myomectomy have the advantages of less trauma, less intraoperative bleeding, faster recovery and shorter hospital stay, which is worthy of popularization and application under the premise of indications of operation.