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目的:比较腹腔镜子宫肌瘤挖除术与开腹子宫肌瘤挖除术的成本效果,为子宫肌瘤病患者选择合适的治疗方案提供依据。方法:将240例子宫肌瘤患者随机分为腔镜组和开腹组各120例,腔镜组在腹腔镜下行子宫肌瘤挖除术,开腹组采取传统方式行开腹子宫肌瘤挖除术。分别统计两组患者住院费用和疗效指标,并进行成本效果分析比较。结果:腔镜组手术时间、术中出血量及术后平均住院天数均少于开腹组(P<0.05,P<0.01),患者乐于接受。以平均住院天数和满意度为标准的成本效果分析优于开腹组(P<0.05)。结论:腹腔镜子宫肌瘤挖除术成本效果比较优于传统开腹子宫肌瘤挖除术。
Objective: To compare the cost effectiveness of laparoscopic myomectomy and laparotomy for the treatment of uterine leiomyoma and to provide a basis for the selection of appropriate treatment for patients with uterine myoma. Methods: 240 cases of uterine fibroids were randomly divided into laparoscopic group and laparotomy group of 120 cases, laparoscopic group of laparoscopic myomectomy, open group to take the traditional way of open abdominal uterine fibroids digging In addition to surgery. The two groups of patients were calculated hospitalization costs and efficacy indicators, and cost-effectiveness analysis and comparison. Results: The operation time, intraoperative blood loss and average postoperative hospital stay in the endoscopic group were less than those in the open group (P <0.05, P <0.01). The cost-effectiveness analysis based on the average days of hospitalization and satisfaction was superior to the laparotomy (P <0.05). Conclusion: Laparoscopic myomectomy cost more effective than the traditional open laparoscopic myomectomy.