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目的分析腹腔镜子宫肌瘤剔除术的临床效果,提高临床诊治效率。方法分析2010年1月至2011年6月我院采用腹腔镜下行子宫肌瘤剔除术的126例患者的临床资料,并与以往采用开腹子宫肌瘤剔除术的126例患者为对照组,比较两组手术时间、术中出血量、手术并发症发生率、术后排气时间、住院时间以及治疗费用的差异,术后随访6个月,统计两组患者生理功能恢复情况及患者满意度。结果两组患者手术时间、术中出血量组间比较差异无统计学意义(P>0.05),但是观察组患者术后排气时间、住院时间、并发症发生率均低于对照组,组间比较差异具有统计学意义(P<0.05),观察组患者满意度高于对照组,组间比较差异具有统计学意义(P<0.05)。结论腹腔镜子宫肌瘤剔除术具有术后恢复快、并发症发生率低、患者满意度高等优点,值得临床推广。
Objective To analyze the clinical effect of laparoscopic myomectomy and improve the clinical diagnosis and treatment efficiency. Methods The clinical data of 126 patients with laparoscopic myomectomy in our hospital from January 2010 to June 2011 were analyzed retrospectively and compared with the 126 patients who undergone open myomectomy in the past. The operation time, intraoperative blood loss, the incidence of complications, postoperative exhaust time, hospital stay and treatment costs were compared between the two groups. The postoperative follow-up was 6 months. The recovery of physiological function and patient satisfaction were calculated. Results There was no significant difference between the two groups in operative time and intraoperative blood loss (P> 0.05). However, the postoperative exhaust time, hospitalization time and complication rate in the observation group were lower than those in the control group, The difference was statistically significant (P <0.05). The patients in the observation group were more satisfied than those in the control group. The differences between the two groups were statistically significant (P <0.05). Conclusion Laparoscopic myomectomy has the advantages of quick recovery, low complication rate and high patient satisfaction, which is worthy of clinical promotion.