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目的:探讨腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床意义。方法:将2012年2月~2013年9月医院收治的子宫肌瘤患者150例分为腹腔镜组80例,采用腹腔镜下行子宫肌瘤剔除术;开腹组70例,开腹行子宫肌瘤剔除术。观察两组的手术时间、术中出血量、并发症及恢复情况,并进行比较。结果:开腹组平均手术时间(82.73±15.27)min明显低于腔镜组(133.43±17.56)min,差异有统计学意义(P<0.01);开腹组术中平均出血量(95.10±30.16)ml低于腹腔镜组(137.37±28.95)ml,差异有统计学意义(P<0.01);术后3天平均体温、术后肛门排气时间、术中严重并发症的发生及术后住院天数两组差异均无统计学意义(P>0.05)。结论:腹腔镜与开腹手术均是成熟的子宫肌瘤剔除术式,虽然开腹手术术中的触摸功能可最大限度发现肌瘤降低肌瘤复发率,但由于腹腔镜手术的临床效果目前以逐渐取代开腹手术成为主导术式。
Objective: To investigate the clinical significance of laparoscopic myomectomy in the treatment of uterine fibroids. Methods: From February 2012 to September 2013, 150 cases of uterine leiomyoma admitted to the hospital were divided into 80 cases of laparoscopic myomectomy and laparoscopic myomectomy. In open group, 70 cases of open uterine muscle Tumor removal. The operation time, intraoperative blood loss, complications and recovery were observed and compared. Results: The average operative time in the open group was significantly lower than that in the endoscopic group (82.73 ± 15.27) min (133.43 ± 17.56) min (P <0.01), while the average intraoperative bleeding in the open group was 95.10 ± 30.16 ) ml was lower than that of laparoscopic group (137.37 ± 28.95) ml, the difference was statistically significant (P <0.01); average body temperature after 3 days, postoperative anal exhaust time, intraoperative and postoperative serious complications and hospitalization There was no significant difference between days in the two groups (P> 0.05). Conclusions: Laparoscopy and laparotomy are mature myomectomy. Although the touch function during laparotomy can minimize the recurrence rate of fibroids, the clinical effect of laparoscopic surgery Gradually replaced by open surgery has become the leading surgical.