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目的探讨子宫肌瘤患者在腹腔镜下剔除与传统开腹手术剔除的临床疗效。方法对2010年3月至2013年1月收治的子宫肌瘤患者98例作为研究对象,根据手术方式的不同随机分为观察组56例和对照组42例,观察组在腹腔镜下行子宫肌瘤切除术,对照组行传统开腹子宫肌瘤切除术,对比分析两组患者的临床疗效。结果观察组患者手术时间(70.15±11.77)min,术中出血量为(120.20±30.56)ml,术后排气时间为(31.05±5.00)h,术后下床活动时间为(15.01±3.10)h,术后住院时间(6.51±2.76)d,术后使用止痛药物的患者有4例(7.14%),均优于对照组患者,两组比较差异有统计学意义(P<0.05)。结论腹腔镜下子宫肌瘤切除手术治疗子宫肌瘤具有损伤小、恢复快、住院时间短、并发症发生率低等优点,值得临床推广应用。
Objective To investigate the clinical efficacy of hysterectomy and hysterectomy in patients with uterine fibroids. Methods From March 2010 to January 2013, 98 cases of patients with uterine fibroids were studied. According to the different surgical methods, they were randomly divided into observation group (56 cases) and control group (42 cases). The observation group underwent laparoscopic uterine fibroids Excision, the control group underwent open laparotomy myomectomy, comparative analysis of two groups of patients with clinical efficacy. Results The operation time of the observation group was (70.15 ± 11.77) min, the blood loss was (120.20 ± 30.56) ml, the postoperative exhaust time was (31.05 ± 5.00) h and the time of ambulation after operation was (15.01 ± 3.10) h, postoperative hospital stay (6.51 ± 2.76) d, postoperative analgesic medication in 4 patients (7.14%) were better than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion Laparoscopic myomectomy for the treatment of uterine fibroids has the advantages of less damage, faster recovery, shorter hospital stay and lower complication rate, which is worthy of clinical application.