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目的探讨腹腔镜下肌瘤剥除术治疗巨大宫颈肌瘤的临床疗效和安全性。方法选取2009年10月至2014年10月间收治的46例巨大宫颈肌瘤患者,采用随机数字表法分为治疗组和对照组,每组23例。治疗组患者行腹腔镜下肌瘤剥除术,对照组患者行开腹手术。回顾性分析两组患者的临床资料。结果治疗组患者的平均出血量、肛门排气时间、住院时间以及术后并发症发生率均低于对照组,差异均有统计学意义(P<0.05);两组患者手术时间的差异无统计学意义(P>0.05)。结论腹腔镜下肌瘤剥除术治疗巨大宫颈肌瘤的临床疗效显著,值得临床推广应用。
Objective To investigate the clinical efficacy and safety of laparoscopic myomectomy in the treatment of giant cervical myoma. Methods Forty-six patients with giant cervical leiomyoma admitted from October 2009 to October 2014 were randomly divided into treatment group and control group, with 23 cases in each group. Patients in the treatment group underwent laparoscopic myomectomy and patients in the control group underwent laparotomy. The clinical data of two groups of patients were retrospectively analyzed. Results The average amount of bleeding, anal exhaust time, hospital stay and postoperative complications in the treatment group were significantly lower than those in the control group (P <0.05). There was no statistical difference between the two groups in the operation time Significance (P> 0.05). Conclusion Laparoscopic myomectomy for the treatment of giant cervical myoma is clinically significant and worthy of clinical application.