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目的对比分析腹腔镜与开腹子宫肌瘤剥除术的临床效果。方法 120例子宫肌瘤患者,随机分为观察组与对照组,各60例。观察组均采取腹腔镜下子宫肌瘤剥除术治疗,对照组均采取开腹子宫肌瘤剥除术治疗,观察比较两组患者的手术指标(手术时间、术中出血量、术后肛门排气时间)和住院时间、并发症等情况。结果两组患者均手术顺利,观察组患者术中出血量(91.24±22.35)ml、术后肛门排气时间(21.46±6.48)h、住院时间(5.67±1.62)d、并发症3例(5.0%)均少于对照组(158.41±31.29)ml、(32.12±5.27)h、(7.22±1.45)d、10例(16.7%),差异具有统计学意义(P<0.05);两组患者手术时间比较差异无统计学意义(P>0.05)。结论腹腔镜下子宫肌瘤剥除术用时较短,术中出血量少,患者恢复较快,安全性高,建议临床推广应用。
Objective To compare and analyze the clinical effect of laparoscopic and open myomectomy. Methods 120 patients with uterine fibroids were randomly divided into observation group and control group, 60 cases each. The observation group were treated by laparoscopic hysterectomy of uterine fibroids, the control group were treated with open hysterectomy of uterine fibroids, observation and comparison of the two groups of patients with surgical indicators (operation time, blood loss, anal row Gas time) and hospital stay, complications and so on. Results The patients in the two groups were operated smoothly, the bleeding volume in the observation group was 91.24 ± 22.35 ml, the time of postoperative anal exhaust (21.46 ± 6.48) h, hospital stay (5.67 ± 1.62) d, and complications %) Were less than those in the control group (158.41 ± 31.29) ml, (32.12 ± 5.27) h and (7.22 ± 1.45) d, respectively, and 10 cases (16.7%) were statistically significant (P <0.05) There was no significant difference in time (P> 0.05). Conclusions laparoscopic hysterectomy with short hysterectomy, less blood loss, patients recover faster, high safety, it is recommended clinical application.