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目的比较腹腔镜和开腹子宫肌瘤切除术在术后第1周的临床效果。方法将2008年1月2009年12月收治的34例子宫肌瘤患者随机分为腹腔镜组17例,开腹组17例。所有患者均为肌壁间肌瘤或浆膜下肌瘤,肌瘤直径在5～15cm之间且数目≤3个。结果两组患者手术时间相近;腹腔镜组术后体温恢复正常时间、肛门排气时间、排尿时间均短于开腹组(P<0.05);腹腔镜组、开腹组术后血红蛋白下降更为明显(P<0.05);术后7d,开腹组腹痛视觉模拟评分明显高于腹腔镜组(P<0.05)。结论腹腔镜下子宫肌瘤切除术具有创伤小、恢复快、疼痛轻等优点,是一种安全有效的手术方法。
Objective To compare laparoscopic and open myomectomy in the first week after the clinical effect. Methods 34 cases of uterine leiomyoma treated in January 2008 and December 2009 were randomly divided into laparoscopic group (17 cases) and laparotomy group (17 cases). All patients were intramural fibroids or subserosal fibroids, myoma diameter of 5 ~ 15cm and the number of ≤ 3 months. Results The operation time of the two groups was similar. The time of postoperative recovery of body temperature, anal exhaust time and urination time in laparoscopic group were shorter than those in open group (P <0.05). The decrease of hemoglobin in laparoscopic group and open group was more (P <0.05). At 7 days after operation, the visual analog scale of abdominal pain in open group was significantly higher than that in laparoscopic group (P <0.05). Conclusions Laparoscopic myomectomy has the advantages of less trauma, faster recovery and less pain. It is a safe and effective surgical method.