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目的探讨改良腹腔镜下子宫肌瘤剔除术的临床效果。方法对38例子宫肌瘤患者行改良腹腔镜下子宫肌瘤剔除术并同对照组30例进行比较。结果改良组全在腹腔镜下完成手术,对照组有6例因术中出血太多而转开腹手术。两组在手术时间上比较差异无统计学意义,但术中出血量改良组明显少于对照组。结论改良腹腔镜下子宫肌瘤剔除术克服了以往术中出血多不易止血的缺点,是安全、有效的,可以在临床运用。
Objective To investigate the clinical effect of modified laparoscopic myomectomy. Methods 38 patients with uterine fibroids underwent laparoscopic myomectomy and compared with the control group of 30 patients were compared. Results The patients in the modified group underwent laparoscopic surgery. In the control group, 6 patients underwent laparotomy due to excessive intraoperative bleeding. There was no significant difference in operative time between the two groups, but the intraoperative blood loss was significantly less in the modified group than in the control group. Conclusion Improved laparoscopic myomectomy to overcome the shortcomings of bleeding in the past more difficult to stop bleeding, is safe and effective, and can be used clinically.