摘要
目的评价应用腹腔镜与传统开腹方式进行子宫肌瘤剔除术的优缺点。方法回顾分析应用传统开腹手术方法35例和应用腹腔镜技术30例进行子宫肌瘤剔除术的临床资料,对手术适应证、并发症和手术时间、住院费用、术中出血量以及术后恢复情况进行比较分析。结果腹腔镜手术时间较开腹手术组长,住院费用较开腹手术组高,差异有显著性(P<005);腹腔镜手术术中出血量、术后肛门排气时间、术后病率和术后住院时间均明显低于开腹手术组,差异有显著性(P<005)。30例病人均在腹腔镜下完成手术,无中转开腹及严重并发症。结论腹腔镜下子宫肌瘤剔除术较传统开腹手术具有创伤小、恢复快、住院时间短,术中、术后并发症少等优点,值得在有条件的医院广泛开展。
Objective To evaluate the advantages and disadvantages between transabdominal myomectomy (TAM) and laparoscopic myomectomy(LM). Methods We were trospectively reviewed the clinical data of 35 cases of TAM and 30 cases of LM, analyzed adaptation, complication, bleeding quantity and recover time. Results Every patients operated successful . The operation time of LM group was longer than TAM group. The bleeding quantity ,recovery time and post - operation in - hospital days of LM group were all shorter than TAM group. Conclusions Laparoscopic myomectomy have advantages of micro invasion,rapidrecovery ,less in -hospital days and less complication.
出处
《医学研究杂志》
2007年第7期92-93,123,共3页
Journal of Medical Research
关键词
腹腔镜
开腹
子宫肌瘤
并发症
Laparoscopy
Transabdominalmyomectomy(TAM)
Myoma of uterus
Complication