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目的探讨腹腔镜下子宫肌瘤剔除术的手术方法、技巧、术后疗效及临床应用价值。方法回顾对比分析腹腔镜子宫肌瘤剔除术103例(A组)与开腹子宫肌瘤剔除术100例(B组)的手术方法和术中术后各临床指标。结果腹腔镜组(A组)与对照组(B组)平均手术时间无明显差异(P>0.05);术中平均出血量,术后体温恢复时间,术后肛门排气时间,术后病率,术后住院时间均有明显差异(P<0.01)。结论腹腔镜和腹腔镜辅助下子宫肌瘤剔除术具有创伤小、术中出血少、术后恢复快及住院时间短的优势,子宫肌瘤的腹腔镜手术无疑是一种保留器官的理性术式。
Objective To investigate the surgical methods, techniques, postoperative efficacy and clinical value of laparoscopic myomectomy. Methods A retrospective analysis of laparoscopic myomectomy in 103 cases (A group) and open myomectomy 100 cases (B group) surgical methods and postoperative clinical indicators. Results There was no significant difference in the average operative time between the laparoscopic group (group A) and the control group (group B) (P> 0.05). The average intraoperative blood loss, postoperative body temperature recovery time, postoperative anal exhaust time, postoperative morbidity , Postoperative hospital stay were significantly different (P <0.01). Conclusion Laparoscopy and laparoscopic myomectomy with less trauma, less bleeding, postoperative recovery and shorter hospital stay advantages of uterine fibroids laparoscopic surgery is undoubtedly a rational method of preserving organs .