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[目的]对比观察腹腔镜手术与剖腹手术切除子宫肌瘤的临床疗效。[方法]58例子宫肌瘤患者随机分为腹腔镜组和剖腹组,各29例,分别采用腹腔镜手术和剖腹手术以切除子宫肌瘤,观察两组的手术时间、术中出血量、术后下床活动时间、肛门排气时间、住院时间以及并发症发生情况等。[结果]腹腔镜组术中出血量为(62.5±6.0)ml,显著少于剖腹组,差异有统计学意义(P﹤0.05);术后下床活动时间、肛门排气时间和住院时间分别为(10.5±1.2)h、(21.0±2.5)h和(5.7±2.2)d,均显著短于剖腹组,差异有统计学意义(P﹤0.05),但两组手术时间比较差异无统计学意义(P﹥0.05);腹腔镜组术后并发症发生率为5.2%,剖腹组术后并发症发生率为20.1%,组间比较差异有统计学意义(P﹤0.05)。[结论]腹腔镜手术切除子宫肌瘤具有创伤小、术后恢复快、住院时间短以及术后并发症少等优点,值得临床推广应用。
[Objective] To compare the clinical efficacy of laparoscopic surgery and laparotomy in the treatment of uterine fibroids. [Method] Fifty-eight patients with uterine fibroids were randomly divided into laparoscopic group and cesarean section group, with 29 cases in each group. Laparoscopic surgery and laparotomy were performed to remove uterine fibroids. The operation time, blood loss, After getting out of bed activity time, anal exhaust time, hospitalization time and the incidence of complications. [Results] The bleeding volume in laparoscopic group was (62.5 ± 6.0) ml, which was significantly lower than that in laparotomy group (P <0.05). The time of ambulation, anal exhaust time and hospital stay (10.5 ± 1.2) h, (21.0 ± 2.5) h and (5.7 ± 2.2) d were significantly shorter than those of the cesarean section (P <0.05), but there was no significant difference in the operation time between the two groups (P> 0.05). The incidence of postoperative complications in laparoscopic group was 5.2% and the incidence of postoperative complications in laparotomy group was 20.1%. The difference between the two groups was statistically significant (P <0.05). [Conclusion] Laparoscopic surgery for the removal of uterine fibroids has the advantages of less trauma, faster recovery, shorter hospital stay and fewer postoperative complications, which is worthy of clinical application.