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目的:探讨无气腹腹腔镜手术治疗多发性子宫肌瘤的可行性及优、缺点。方法:83例拟行子宫肌瘤切除术多发性子宫肌瘤患者随机分为传统开腹组30例(A组)、气腹式腹腔镜组31例(B组)和无气腹腹腔镜组22例(C组),比较3组手术时间、术中出血量、术后肛门排气时间、住院天数、住院费用及血气分析参数等指标。结果:无气腹腹腔镜组具有传统开腹组术中呼吸循环指标平稳的优点,较开腹手术术后肠功能恢复早、住院时间短,较气腹式腹腔镜手术住院费用少。结论:无气腹腹腔镜下多发性子宫肌瘤切除术是一种良好的微创方法。
Objective: To investigate the feasibility, advantages and disadvantages of pneumoperitoneum laparoscopic surgery for multiple uterine fibroids. Methods: Eighty-three patients with multiple uterine leiomyoma who underwent myomectomy were randomly divided into three groups: conventional laparotomy group (group A), pneumoperitoneum laparoscopic group (group B) and pneumoperitoneal laparoscopic group Twenty-two patients (group C) were enrolled in this study. The operation time, intraoperative blood loss, postoperative anal exhaust time, hospitalization days, hospitalization expenses and blood gas analysis parameters were compared. Results: Laparoscopic pneumoperitoneum laparotomy group had the advantages of smooth operation of respiratory index in the traditional laparotomy group, earlier recovery of intestinal function, shorter hospitalization time and less hospitalization cost than pneumoperitoneal laparoscopic surgery. Conclusion: Laparoscopic multiple myogenic myomectomy without pneumoperitoneum is a good minimally invasive method.