摘要
目的探讨腹腔镜子宫大肌瘤剔除术的临床应用价值。方法 98例需手术的子宫大肌瘤患者按入院先后顺序随机分为观察组与对照组,每组49例。观察组给予腹腔镜下子宫肌瘤剥除术,对照组给予开腹子宫肌瘤剥除术。比较两组术中、术后及随访的各项指标。结果观察组术后肛门排气时间、病率、镇痛率、住院时间低于对照组,而手术时间高于对照组,组间差异具有显著性(P<0.05);术中出血量组间比较差异没有显著性(P>0.05)。结论腹腔镜子宫大肌瘤剔除术具有开腹术式相同的效果,但更具有创伤小,出血不多,术后恢复快及住院时间短、并发症少等优点但选择恰当的病例及术者熟练技术具有重要作用。
Objective To explore the clinical value of the laparoscopic myomectomy large. Methods According to the order of admission,98 patients with large uterine fibroids requiring surgery were randomly divided into observation group and control group（n = 49）.The observation group were given uterine fibroids under laparoscopic cystectomy and the control group were given abdominal cystectomy uterine fibroids.Two groups were compared postoperative and follow-up indicators. Results The observation group was less than the control group at time to flatus after surgery,morbidity,pain rate,length of stay,etc.While the operative time was higher,the difference between groups was significant（P0.05）.In blood loss,there was no significant difference between groups（P0.05）. Conclusions Laparoscopic myomectomy large has the same effect with abdominal surgical procedures,but more with less trauma,bleeding much,rapid postoperative recovery and shorter hospital stay,fewer complications,is worthy of clinical application.
出处
《齐齐哈尔医学院学报》
2011年第21期3450-3451,共2页
Journal of Qiqihar Medical University
关键词
腹腔镜
开腹
子宫肌瘤
治疗
Laparoscopic surgery Belly-open surgery Largeuterine fibroids Treatment
