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目的研究腹腔镜(LM)和经腹(TAM)子宫肌瘤剔除术后肌瘤残留、复发及妊娠结局的情况。方法回顾性分析2009年1月-2010年3月孝感市中心医院因子宫肌瘤行手术治疗患者的临床资料,开腹组152例,腹腔镜组168例,对两组情况进行比较。结果 LM组剔除最大肌瘤直径和剔除肌瘤数目均小于TAM组,平均手术时间、平均Hb下降值和术后住院时间均小于TAM组,差异有统计学意义(P<0.05)。LM组术后残留率、复发率、妊娠率及妊娠结局与TAM组比较,差异无统计学意义(P>0.05)。结论 LM创伤小、恢复快、并发症少,优于TAM。临床中应根据子宫肌瘤的大小、数目及位置综合考虑,选择合适的手术方法。
Objective To study the residual, recurrence and pregnancy outcomes of fibroids after laparoscopic (LM) and transabdominal (TAM) myomectomy. Methods The clinical data of patients with uterine fibroids underwent surgery in Xiaogan Central Hospital from January 2009 to March 2010 were retrospectively analyzed. 152 patients in the open group and 168 patients in the laparoscopic group were compared. Results The diameter of myoma and the number of fibroids removed in LM group were less than those in TAM group. The mean operative time, mean Hb decline and postoperative hospital stay were all less than those in TAM group. The difference was statistically significant (P <0.05). LM group postoperative residual rate, recurrence rate, pregnancy rate and pregnancy outcome compared with the TAM group, the difference was not statistically significant (P> 0.05). Conclusion LM trauma, rapid recovery, fewer complications, better than TAM. Clinical should be based on the size of uterine fibroids, the number and location of comprehensive consideration, select the appropriate surgical methods.