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目的评价腹腔镜下与开腹子宫肌瘤剔除术的优缺点和手术适应证。方法回顾分析许昌市公疗医院2004-01-2010-06行子宫肌瘤剔除术患者的临床资料,开腹手术106例,腹腔镜手术64例。选出开腹组43例,腔镜组56例进行对比,分析其一般临床资料及围手术期资料特点。结果两组术中出血量无明显差异(P>0.05);腹腔镜组手术时间长于开腹组(P<0.05),术后肛门排气时间、住院时间少于开腹组(P<0.05),术后病率、镇痛药物使用率低于开腹组(P<0.05,P<0.01)。结论腹腔镜下子宫肌瘤剔除术为微创手术,术式安全可靠,但对于多发、巨大或剔除术后复发的肌瘤首选开腹肌瘤剔除术。
Objective To evaluate the advantages and disadvantages of laparoscopic and open myomectomy and surgical indications. Methods The clinical data of 106 patients who underwent myomectomy in Xuchang Public Hospital from January 2004 to June 2010 were analyzed retrospectively. 106 patients underwent laparotomy and 64 patients underwent laparoscopic surgery. 43 cases of laparotomy group and 56 cases of laparoscopic group were selected for comparison. The general clinical data and perioperative data were analyzed. Results The operation time of laparoscopic group was longer than that of laparotomy group (P <0.05), and the time of postoperative anal exhaust and hospital stay was shorter than that of laparotomy group (P <0.05) , Postoperative morbidity and analgesic drug use rate were lower than those in open group (P <0.05, P <0.01). Conclusions Laparoscopic myomectomy is a minimally invasive surgical procedure, which is safe and reliable. However, for myoma of multiple recurrence, it is the first choice for myomectomy.