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目的比较腹腔镜子宫肌瘤剥除术与经腹部子宫肌瘤剔除术临床效果。方法将要求行子宫肌瘤剥除术的患者分为腹腔镜手术组(研究组)25例和经腹手术组(对照组)19例,比较两组术中、术后情况。结果研究组的手术时间、术中出血量、术后镇痛用药、术后住院时间,术后排气时间,发热例数与对照组比较显著减少(P<0.05)。结论腹腔镜子宫肌瘤剥除术比经腹腔子宫肌瘤剔除术的手术效果好,其手术创伤小,术后并发症少,康复快,是一种值得推广应用的微创术式。
Objective To compare the clinical efficacy of laparoscopic myomectomy and transabdominal myomectomy. Methods Totally 25 patients who underwent laparoscopic surgery (study group) and 19 patients who underwent abdominal surgery (control group) were included in this study. The patients undergoing hysterectomy were divided into two groups according to their intraoperative and postoperative conditions. Results The operation time, intraoperative blood loss, postoperative analgesia medication, postoperative hospital stay, postoperative exhaust time and the number of fever cases were significantly decreased compared with the control group (P <0.05). Conclusions Laparoscopic myomectomy is more effective than transabdominal myomectomy. It has less trauma, less postoperative complications and quick recovery. It is a minimally invasive technique that is worth popularizing and applying.