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目的探讨腹腔镜下改良子宫肌瘤剔除手术的可行性。方法将行改良腹腔镜子宫肌瘤剔除手术208例患者作为研究组,取同期患者临床特点相似的经阴道子宫肌瘤剔除术204例作为对照组,观察两组手术时间、术中出血量、术后排气时间等指标。结果研究组在手术时间、术中出血量、术后排气时间、术后病率、住院时间方面与对照组比较,差异均有统计学意义(P<0.01)。结论通过对腹腔镜子宫肌瘤剔除手术的子宫切口和缝合方法的改进,达到了缩短手术时间、减少术中出血、术后恢复快的目的 ,值得临床推广。
Objective To investigate the feasibility of laparoscopic myomectomy. Methods A total of 208 patients with modified laparoscopic myomectomy were included in the study. Totally 204 patients with vaginal myomectomy whose clinical characteristics were similar in the same period were selected as the control group. The operation time, blood loss, After the exhaust time and other indicators. Results There were significant differences in the operation time, intraoperative blood loss, postoperative exhaust time, postoperative morbidity and hospital stay between the two groups (P <0.01). Conclusion Through the improvement of laparoscopic myomectomy and uterine incision and suture method, it can shorten the operation time, reduce intraoperative bleeding, and recover quickly after operation. It is worthy of clinical promotion.