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目的比较腹腔镜与开腹肌瘤剔除术治疗子宫肌瘤的临床疗效。方法 80例子宫肌瘤患者随机均分为腹腔镜(A)组和开腹(B)组:A组经腹腔镜剔除子宫肌瘤;B组实施常规开腹肌瘤剔除术。比较两组手术时间、术中出血量和住院时间等临床指标。结果两组均顺利完成手术。A组手术时间长于B组;但与B组比较,A组手术出血量少,术后排气时间、起床活动时间、抗生素应用时间及住院时间均显著短于B组,且术后镇痛剂的使用也少于B组(P<0.05)。结论腹腔镜子宫肌瘤剔除术具有创伤小、术后恢复快、住院时间短、切口美观等优势,是治疗子宫肌瘤的良好选择。
Objective To compare the clinical efficacy of laparoscopic and open myomectomy in the treatment of uterine fibroids. Methods 80 patients with uterine fibroids were randomly divided into laparoscopic (A) group and open (B) group: A group by laparoscopy to remove uterine fibroids; B group to implement conventional open myomectomy. The clinical parameters such as operative time, intraoperative blood loss and hospital stay were compared between the two groups. Results Both groups completed the operation smoothly. In group A, the operation time was longer than that in group B. However, compared with group B, there was less operation blood loss, postoperative exhaust time, activity time, antibiotic application time and hospitalization time were significantly shorter than group B, and postoperative analgesics Less use than in group B (P <0.05). Conclusion Laparoscopic myomectomy has the advantages of less trauma, faster recovery, shorter hospitalization time and beautiful incision, which is a good choice for the treatment of uterine fibroids.