摘要
目的观察阴式辅助腹腔镜巨大子宫肌瘤切除术的临床疗效及安全性,并探讨该术式的优势及其适应证。方法将92例结合临床病史及辅助检查确诊为巨大子宫肌瘤的患者按照手术方式不同分为2组,观察组采用阴式辅助腹腔镜巨大子宫肌瘤切除术;对照组采用腹腔镜巨大子宫肌瘤切除术。观察2组患者手术相关指标、术后恢复情况及安全性。结果观察组患者的手术时间、术中失血、中转开腹率、术后引流量、术后发热率以及术后排气时间和住院时间均显著低于对照组。2组均未发现严重不良反应。结论阴式辅助腹腔镜巨大子宫肌瘤切除术更为符合微创原则,可以有效缩短手术时间,减少术中失血,降低中转开腹率,患者术后恢复更快,且安全性高,是切除巨大子宫肌瘤良好的术式选择。
Objective To observe the clinical efficacy and safety of the vaginal-assisted laparoscopic resection of huge uterine fibroids,and to explore the advantages of the procedure and its indications.Methods A total of 92 patients who were confirmed with huge uterine fibroids by clinical and laboratory examinations were divided into two groups in accordance with different surgical procedures.The observation group received vaginal-assisted laparoscopic resection of huge uterine fibroids and the control group received laparoscopic resection of huge uterine fibroids.The surgery-related indicators,the postoperative recovery and safety in the two groups were observed.Results The surgery duration,intraoperative blood loss,rate of laparotomy,postoperative drainage,rate of postoperative fever,postoperative flatulence time and hospital stay were significantly lower in the observation group than in the control group.No serious adverse events were observed in both groups.Conclusion The vaginal-assisted laparoscopic resection of huge uterine fibroids conforms to the principle of minimally invasive surgery.It can effectively shorten the surgery duration,reduce the intraoperative blood loss,decrease the rate of laparotomy,improve safety and contribute to the faster recovery of patients.Thus it is an ideal procedure for the resection of huge uterine fibroids.
出处
《实用临床医药杂志》
CAS
2012年第11期80-82,共3页
Journal of Clinical Medicine in Practice
基金
中国高校医学期刊临床专项资金(11220043)
关键词
子宫肌瘤
腹腔镜
子宫肌瘤切除术
uterine fibroids； laparoscope； laparoscopic resection of huge uterine fibroids
