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目的:比较腹腔镜和传统开腹手术行子宫肌瘤剔除的临床效果,探讨腹腔镜下行子宫肌瘤剔除术的手术适应证。方法:对该院2006年7月～2010年12月89例行子宫肌瘤剔除术的患者,其中采用腹腔镜治疗的46例,传统开腹手术者43例,进行临床疗效分析。结果:传统手术组和腹腔镜手术组均顺利完成。开腹手术组术中所花时间较腔镜组少,但是术后排气时间、住院时间均较腔镜组明显延长,差异有统计学意义,P<0.01。开腹手术组术中出血量显著多于腔镜组,P<0.01。两组患者术中及术后均未出现并发症。术后随访患者预后较好,达到预期效果。结论:传统的开腹手术和腹腔镜手术均能剔除子宫肌瘤,达到相同的临床效果,但是后者具有手术创伤小,术后恢复快等临床特点,值得广泛推广。
Objective: To compare the clinical efficacy of laparoscopic and traditional open surgery in the treatment of uterine fibroids and to explore the surgical indications of laparoscopic myomectomy. Methods: From July 2006 to December 2010, 89 patients undergoing myomectomy were treated by laparoscopy, including 46 cases of laparoscopic surgery and 43 cases of traditional laparotomy. The clinical efficacy was analyzed. Results: The traditional surgery group and laparoscopic surgery group were successfully completed. Laparotomy group took less time than laparoscopy group, but the time of extubation and hospital stay were longer than those of laparoscopic group, the difference was statistically significant (P <0.01). The intraoperative blood loss in the open surgery group was significantly more than that in the laparoscopic group, P <0.01. No complications occurred in both groups during and after operation. Postoperative follow-up of patients with good prognosis, to achieve the desired results. Conclusion: The traditional laparotomy and laparoscopic surgery can both remove uterine fibroids to achieve the same clinical effect, but the latter has the advantages of less surgical trauma and rapid postoperative recovery. It is worth widely disseminating.