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目的研究悬吊式无气腹腹腔镜在子宫肌瘤切除术中的应用。方法 43例接受子宫肌瘤切除术的患者随机分为实验组(20例)和对照组(23例),实验组采用悬吊式无气腹腹腔镜子宫肌瘤切除术,对照组采用传统气腹腹腔镜肌瘤切除术。比较两组手术时间、术中出血量、血气分析、术后肠功能恢复及术后并发症等情况。结果实验组的手术时间、术中出血量与对照组比较无统计学差异(P>0.05);而PCO2和碱剩余(BE)明显优于对照组(P<0.05);术后胃肠功能恢复明显快于对照组(P<0.05);术后对照组与实验组均无明显手术并发症。结论悬吊式无气腹腹腔镜应用于子宫肌瘤切除术适应证广,可有效减小手术创伤。
Objective To study the application of suspended pneumoperitoneum laparoscopy in myomectomy. Methods Forty-three patients undergoing hysterectomy were randomly divided into experimental group (n = 20) and control group (n = 23). The experimental group was treated by pneumoperitoneum without laparoscopic myomectomy and the control group with conventional gas Laparoscopic myomectomy. The operation time, intraoperative blood loss, blood gas analysis, postoperative intestinal function recovery and postoperative complications were compared between the two groups. Results The operation time and intraoperative blood loss in the experimental group were not significantly different from those in the control group (P> 0.05), while the PCO2 and base excess (BE) were significantly better than those in the control group (P <0.05) Significantly faster than the control group (P <0.05); postoperative control group and experimental group were no significant complications. Conclusion No pneumoperitoneal laparoscopic pneumoperitoneum myomectomy applicable indications, which can effectively reduce the surgical trauma.