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目的探讨腹腔镜子宫肌瘤剔除术和经腹子宫肌瘤剔除术的临床疗效。方法回顾性分析我院2010年4月至2013年4月收治的100例子宫肌瘤患者,将其随机分为腹腔镜组(n=48)和经腹组(n=52),观察并比较两种手术方式的肌瘤最大直径、剔除的肌瘤个数、术中出血量、手术时间、术后发热情况、术后镇痛药物应用情况、肛门排气时间、下床时间、术后住院时间等。结果两组患者手术均很顺利,腹腔镜组术中出血量、术后住院时间、肛门排气时间均明显低于经腹组(P<0.05),但手术时间明显长于经腹组(P<0.05),两组患者剔除的肌瘤个数及肌瘤最大直径相比,差异无统计学意义(P>0.05)。结论腹腔镜治疗子宫肌瘤安全有效,具有创伤小、出血少、恢复快及住院时间短等优势。
Objective To investigate the clinical efficacy of laparoscopic myomectomy and abdominal myomectomy. Methods A total of 100 patients with uterine fibroids who were treated in our hospital from April 2010 to April 2013 were retrospectively analyzed. They were randomly divided into laparoscopic group (n = 48) and transabdominal group (n = 52), and observed and compared The two methods of fibroids maximum diameter, the number of fibroids removed, intraoperative blood loss, operation time, postoperative fever, postoperative analgesic drug application, anal exhaust time, bed time, postoperative hospitalization Time and so on. Results The operation of the two groups was successful. The amount of bleeding, postoperative hospital stay and anal exhaust time in laparoscopic group were significantly lower than those in transabdominal group (P <0.05), but the operation time was significantly longer than that in transabdominal group (P < 0.05). There was no significant difference between the two groups in the number of myoma removed and the maximum diameter of fibroids (P> 0.05). Conclusion Laparoscopic treatment of uterine fibroids safe and effective, with less trauma, less bleeding, fast recovery and shorter hospital stay and other advantages.