子宫肌瘤剔除行腹腔镜手术与开腹手术的临床比较

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目的比较腹腔镜与开腹子宫肌瘤剔除术的临床疗效及应用价值。方法回顾分析我院2009年1月~2011年12月间所行子宫肌瘤剔除手术91例患者的临床资料,其中有42例腹腔镜下手术(腹腔镜组)和49例剖腹手术(开腹组),分析2组患者手术时间、术中出血量、术后恢复情况。结果子宫肌瘤≤6cm者,腹腔镜组的手术时间、术中出血量均显著少于开腹组(P〈0.05),而肌瘤为7~8cm者,2组的手术时间、术中出血量差异无统计学意义(P〉0.05);而术后下床活动时间、肛门排气时间、恢复家务劳动时间及术后住院时间腹腔镜组均较开腹
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