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目的观察无气腹腹腔镜下子宫肌瘤剥除术的临床效果。方法 62例子宫肌瘤患者,随机分为对照组与观察组,每组31例。对照组采用气腹腹腔镜下子宫肌瘤剥除术进行治疗,观察组采用无气腹腹腔镜下子宫肌瘤剥除术治疗。比较两组的手术时间、手术出血量、肛门排气时间、住院时间及治疗总有效率。结果对照组总有效率为74.2%,观察组总有效率为93.5%,观察组总有效率高于对照组,差异具有统计学意义(P<0.05);观察组手术出血量、肛门排气时间、住院时间均优于对照组,差异均具有统计学意义(P<0.05)。两组均未出现不良反应和并发症。结论无气腹腹腔镜下子宫肌瘤剥除术治疗子宫肌瘤的临床效果优于气腹腹腔镜下子宫肌瘤剥除术,患者创伤小,安全性高,具有临床推广价值。
Objective To observe the clinical effect of laparoscopic myomectomy without pneumoperitoneum. Methods 62 patients with uterine fibroids were randomly divided into control group and observation group, 31 cases in each group. The control group was treated with pneumoperitoneum laparoscopic hysterectomy, and the observation group was treated with pneumoperitoneal laparoscopic hysterectomy. The operation time, operative bleeding volume, anal exhaust time, hospitalization time and total effective rate were compared between the two groups. Results The total effective rate of the control group was 74.2%, the total effective rate of the observation group was 93.5%, the total effective rate of the observation group was higher than that of the control group (P <0.05); the bleeding volume of the observation group, , Hospital stay were better than the control group, the differences were statistically significant (P <0.05). No adverse reactions and complications occurred in either group. Conclusion Laparoscopic laparoscopic hysterectomy for the treatment of uterine fibroids superior to pneumoperitoneum Laparoscopic myomectomy, patients with trauma, high safety, with clinical value.