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目的总结腹腔镜开腹子宫肌瘤剔除术的经验。方法回顾性分析236例行腹腔镜子宫肌瘤剔除术及65例开腹子宫肌瘤剔除术的临床资料,比较两组患者术中出血量、手术时间、排气时间、术后病率、手术并发症发生率情况及随访资料。结果与开腹手术相比,腹腔镜手术尽管手术时间较长(P<0.05),但术中出血量少(P<0.05)、术后排气时间短(P<0.05)、术后病率少(P<0.05)。随访1年,两组患者均无术后残留及术后复发情况。结论腹腔镜子宫肌瘤剔除术具有切口美观、创伤小、术后恢复快等优点,但不能取代开腹子宫肌瘤剔除术。
Objective To summarize the experience of laparoscopic myomectomy. Methods A retrospective analysis of 236 cases of laparoscopic myomectomy and 65 cases of open myomectomy myomectomy clinical data were compared between the two groups of patients with blood loss, operation time, exhaust time, postoperative morbidity, surgery Complication rate and follow-up data. Results Compared with laparotomy, laparoscopic surgery had shorter operative time (P <0.05), less bleeding during operation (P <0.05), shorter postoperative exhaust time (P <0.05), and postoperative morbidity Less (P <0.05). After one year of follow-up, there was no postoperative residual and postoperative recurrence in both groups. Conclusions Laparoscopic myomectomy has the advantages of beautiful incision, small trauma and rapid postoperative recovery, but it can not replace open myomectomy.