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目的探讨悬吊法与CO2气腹法腹腔镜(以下简称气腹法腹腔镜)下子宫肌瘤切除手术的差别。方法2003年10月至2004年10月昆山市第一人民医院和上海第二医科大学附属第九人民医院对67例肌壁间子宫肌瘤病人随机分为2组,分别进行悬吊法腹腔镜下子宫肌瘤切除术(36例)和气腹法腹腔镜下子宫肌瘤切除术(31例),比较两组的手术时间、出血量、术后肠功能恢复时间和病人住院时间。结果悬吊法腹腔镜子宫肌瘤切除的平均手术时间、出血量、单个肌瘤平均切除时间、<6cm和≥6cm单个肌瘤切除的平均时间均优于气腹法腹腔镜组(P均<0.05),两组病人术后肠道功能恢复时间和住院时间比较,差异无显著性(P均>0.05)。结论悬吊法腹腔镜子宫肌瘤切除较气腹法腹腔镜手术时间短、出血少、操作简便,术后病人的恢复快且无气腹对机体的影响,是一种较好的治疗子宫肌瘤的技术。
Objective To investigate the difference between the method of suspending myomectomy and CO2 pneumoperitoneum laparoscopy (hereinafter referred to as pneumoperitoneum laparoscopy). Methods From October 2003 to October 2004, the First People’s Hospital of Kunshan and the Ninth People’s Hospital Affiliated to Shanghai Second Medical University, 67 patients with intramural uterine fibroids were randomly divided into two groups, respectively, laparoscopic suspension method Underwent myomectomy (36 cases) and pneumoperitoneum laparoscopic myomectomy (31 cases). The operation time, blood loss, postoperative intestinal function recovery time and hospitalization time were compared between the two groups. Results The mean operative time, bleeding volume, average time of myoma removal, laparoscopic myomectomy in laparoscopic myomectomy were better than those in laparoscopic pneumoperitoneum group (P < 0.05). There was no significant difference in postoperative intestinal function recovery time and hospital stay between the two groups (all P> 0.05). Conclusion Laparoscopic laparoscopic myomectomy laparoscopic pneumoperitoneum laparoscopic surgery shorter than the time, less bleeding, easy to operate, postoperative recovery of patients with fast and no pneumoperitoneum on the body, is a better treatment of uterine muscle Tumor technology.