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目的研究腹腔镜下子宫肌瘤剔除术的临床应用价值。方法回顾分析濮阳市中医院2007年1月—2009年6月,腹腔镜下子宫肌瘤剔除术68例的临床资料。结果患者平均年龄(36±4.2)岁,有下腹部手术史者3例。单发子宫肌瘤者43例,多发子宫肌瘤者25例。67例顺利实施腹腔镜下子宫肌瘤剔除术,1例中转开腹。平均手术时间(78±30.4)min。平均术中出血80ml,术后平均肛门排气时间(18.6±12.7)h,术后平均住院时间(4.4±1.2)d。传统腹式子宫肌瘤剔除术39例为对照组。结论腹腔镜下子宫肌瘤剔除术具有创伤小、疼痛轻、恢复快、住院时间短等优点,是安全可行的一种治疗子宫肌瘤的方法之一。
Objective To study the clinical value of laparoscopic myomectomy. Methods The clinical data of 68 cases of laparoscopic myomectomy in our hospital from January 2007 to June 2009 were retrospectively analyzed. Results The average age of patients (36 ± 4.2) years, there were 3 cases of lower abdominal surgery history. 43 cases of single uterine fibroids, multiple uterine fibroids in 25 cases. 67 cases of laparoscopic myomectomy successfully removed, 1 case of laparotomy. The average operation time (78 ± 30.4) min. The mean intraoperative bleeding was 80ml, the average postoperative anal exhaust time was (18.6 ± 12.7) h, and the average postoperative hospital stay was (4.4 ± 1.2) days. 39 cases of traditional abdominal myomectomy as control group. Conclusions Laparoscopic myomectomy has the advantages of less trauma, less pain, quicker recovery and shorter hospital stay, which is one of the safe and feasible methods to treat uterine fibroids.