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腹腔镜子宫切除治疗子宫肌瘤的临床价值及可行性研究

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目的::探讨腹腔镜子宫切除治疗子宫肌瘤的临床价值与可行性。方法:选取2012年6月至2014年5月我院收治的子宫肌瘤患者100例进行分析,作为研究对象,其中腹腔镜子宫切除术的有60例,而接受开腹子宫肌瘤切除术的有40例。研究中比较两组患者在手术时间、并发症、出血量、术后镇痛药物使用率、排气时间、住院时间以及康复程度等。结果:腹腔镜组的平均手术时间高于开腹组;腹腔镜组患者术后出血量、术后镇痛药物使用率、腰腹疼痛率、术后排气、下床活动、体温恢复以及住院时间等均小于开腹组。两组比较具有统计学意义(P<0.05),差异显著。结论:使用腹腔镜子宫切除手术治疗子宫肌瘤是一种有效的临床治疗方法,值得推广应用。
Objective: To investigate the clinical value and feasibility oflaparoscopic hysterectomy in the treatment of uterine fibroids. Methods: from 2012 June to 2014 May in our hospital 100 cases of patients withuterine leiomyoma were analyzed, as the research ob-ject, the laparoscopichysterectomy in 60 cases, and received laparotomy myomectomy in 40 cases. In the study were compared between the two groups in operationtime, complications, bleeding volume, postoperative analgesia drug userate, exhaust time, hospitalization time and the degree of recovery etc..Results: the average operation time of laparoscopic group was higher than that of the open group; the laparoscopic group of patients withpostoperative bleeding, postoperative analgesia drug use rate, pain in the waist and abdomen rate, postoperative exhaust ambulation, recovery of body temperature and the length of hospital stay was less than laparotomy group. The two groups were statistically significant difference (P<0.05).Conclusion: the use of laparoscopic hysterectomy operation in the treatment of uterine fibroids is an effective clinical treatment, worthy ofpromotion and application.

aparoscopic hysterectomyuterine leiomyomaclinical effect

张邑江

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四川省成都市大邑县人民医院 611330

腹腔镜子宫切除术 子宫肌瘤 临床疗效

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(1)
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