摘要
目的:比较分析腹腔镜手术与开腹手术治疗巨大子宫肌瘤的临床效果。方法:回顾性分析我院2009年1月至2013年12月采用腹腔镜手术或开腹手术治疗的直径7-12cm的巨大子宫肌瘤共计133例,其中腹腔镜组68例,开腹手术组65例,比较两组术中、术后情况。结果:巨大子宫肌瘤通过腹腔镜手术和开腹手术两种手术方式治疗,在手术时间、术中岀血、术后住院天数、术后肛门排气时间、术后病率、术后HGB下降等方面均有明显差异(P<0.05)。腹腔镜组虽然手术时间多于开腹组,但术中岀血、住院天数、并发症方面都优于开腹组(P<0.05)。结论:腹腔镜手术治疗巨大子宫肌瘤具有恢复快、并发症少等优点。
Objective：To compare and analyse the effect of giant uterine leiomyoma by laparoscopic and surgery.Method：133 patients, with giant uterine leiomyoma of 7cm to 12cm in diameter, were treated sur-gically from Jan.2009 to Dec.2013 in our hospital.Among them, 68 patients were treated by laparoscopic myomectomy , while other 65 patients were treated by surgery .The data of two groups were collected and ana-lyzed retrospectively .Result：There were significant differences between two groups in operative time , opera-tive blood loss , length of hospital stay , anal exhaust time , rate of postoperative complication and hemoglobin decrease （ P〈0.05） .The data available showed that laparoscopic myomectomy was associated with less opera-tive blood loss , reduced length of hospital stay , and fewer rate of postoperative complications but longer oper-ation time（ P〈0.05） .Conclusion：The data demonstrates that laparoscopic surgery can be an appropriate op-tion for giant uterine leiomyoma with lower occurrence rate of complications .
出处
《河北医学》
CAS
2014年第12期2009-2012,共4页
Hebei Medicine
关键词
巨大子宫肌瘤
腹腔镜手术
开腹手术
Giant uterine leiomyoma
Laparoscopic surgery,Open surgery
