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目的:探讨腹腔镜下子宫肌瘤剔除术的临床效果。方法:回顾性分析2008年6月～2009年12月腹腔镜下子宫肌瘤剔除术68例(腹腔镜组)临床资料,随机选取同期开腹子宫肌瘤剔除术68例(开腹组)进行对比分析。比较两组术中出血量、肌瘤大小、手术时间、术后恢复情况、术后抗生素应用时间及术后住院天数。结果:两组术中出血量、手术时间比较差异无统计学意义(P>0.05)。腹腔镜组术后肛门排气时间、术后抗生素应用时间、术后离床活动时间及术后住院天数比开腹组少,差异有统计学意义(P<0.05)。结论:腹腔镜下子宫肌瘤剔除术和开腹子宫肌瘤剔除术相比具有创伤小、恢复快等特点,是一种值得推广的微创手术。
Objective: To investigate the clinical effect of laparoscopic myomectomy. Methods: The clinical data of 68 cases of laparoscopic myomectomy (laparoscopic group) from June 2008 to December 2009 were retrospectively analyzed. Sixty-eight patients (laparotomy) undergoing laparoscopic myomectomy at random were enrolled in this study. Comparative analysis. The blood loss, fibroid size, operation time, postoperative recovery, postoperative antibiotic application time and postoperative hospital stay were compared between the two groups. Results: There was no significant difference in bleeding volume and operation time between the two groups (P> 0.05). The time of postoperative anal exhaust, the duration of postoperative antibiotic application, the time of postoperative ambulation and postoperative hospital stay were less in laparoscopic group than in open group (P <0.05). Conclusion: Compared with laparoscopic myomectomy and laparoscopic myomectomy, laparoscopic myomectomy has the advantages of less trauma and faster recovery and is a minimally invasive surgery worthy of promotion.