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目的对比腹腔镜下子宫肌瘤剔除术与经腹子宫肌瘤剔除术的临床治疗效果。方法将本院检查确诊的子宫肌瘤患者78例按照就诊顺序分为2组。对照组的39例患者行经腹子宫肌瘤剔除术,观察组的39例患者行腹腔镜下子宫肌瘤剔除术,观察并对比2组患者临床治疗效果。结果观察组患者的手术时间(94.26±5.81)min、肛门排气时间(1.52±0.39)d及平均住院时间(7.14±2.36)d均较对照组明显缩短,术中出血量(86.38±9.44)m L较对照组明显减少,差异均有统计学意义(P<0.05)。观察组术后并发症发生率为7.69%,低于对照组的25.64%(P<0.05)。结论相对于经腹子宫肌瘤剔除术而言,腹腔镜下子宫肌瘤剔除术具有创伤小、手术时间短、术中出血量及并发症少、术后恢复快等优点,是治疗子宫肌瘤的理想术式,可进行推广应用。
Objective To compare the clinical effects of laparoscopic myomectomy and abdominal myomectomy. Methods 78 cases of uterine fibroids diagnosed in our hospital were divided into two groups according to the order of treatment. Thirty-nine patients in the control group underwent resection of abdominal myomectomy, and 39 patients in the observation group underwent laparoscopic myomectomy. The clinical effects of two groups were observed and compared. Results The operation time (94.26 ± 5.81) min, anal exhaust time (1.52 ± 0.39) d and average length of hospital stay (7.14 ± 2.36) d in the observation group were significantly shorter than those in the control group (86.38 ± 9.44) m L was significantly lower than the control group, the difference was statistically significant (P <0.05). The incidence of postoperative complications in the observation group was 7.69%, which was lower than that in the control group (25.64%, P <0.05). Conclusion Compared with transabdominal myomectomy, laparoscopic myomectomy has the advantages of less trauma, shorter operative time, less intraoperative blood loss, fewer complications and faster postoperative recovery. It is the treatment of uterine fibroids The ideal surgery can be promoted.