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腹腔镜手术在治疗子宫肌瘤上的应用价值

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目的:探讨腹腔镜手术在治疗子宫肌瘤上的应用价值。方法:收集我院妇科近4年共计120例诊断为子宫肌瘤的患者作为研究对象。按随机数字表法分为2组,腹腔镜组60例和开腹组60例。腹腔镜组采用腹腔镜下子宫肌瘤切除术;开腹组采用开腹子宫肌瘤剔除术。比较(1)腹腔镜组与开腹组手术时间、手术出血量、术后住院天数;(2)腹腔镜组与开腹组盆腔粘连率及子宫肌瘤复发率。结果:腹腔镜组与开腹组手术时间、手术出血量、术后住院天数分别为(109.6±15.4min、97.6±13.6ml、4.6±1.4d)、(94.7±7.6min、134.9±25.7ml、7.5±2.9d),差异有统计学意义(P<0.05);腹腔镜组与开腹组盆腔粘连率及子宫肌瘤复发率分别为(11.7%、13.3%)、(36.6%、30%),两组盆腔粘连率差异有统计学意义(P<0.05),两组子宫肌瘤复发率差异无统计学意义(P>0.05)。结论:本次研究认为腹腔镜下子宫肌瘤切除术的优点是患者手术出血量少,术后住院天数短,但是对于较小的肌瘤探测效果差,术后有复发几率。
Objective To investigate the value of laparoscopic surgery in the treatment of uterine fibroids.Methods Collected our hospital gynecological 120 cases diagnosed with uterine fibroids in recent 4 yearsas as research subjects.randomly divided into 2 groups, the laparoscopic group and laparotomy group each in 60 cases,the laparoscopic group with laparoscopic myomectomy,and the laparoto-my group with abdominal myomectomy,compared two group’s operative time,blood loss,postoperative hospital stay,and pelvic adhe-sions rate and uterine fibroids recurrence rate.Results The laparoscopic group and laparotomy group’s operative time,blood loss,postop-erative hospital stay were (109.6±15.4min、97.6±13.6ml、4.6±1.4d)、(94.7±7.6min、134.9±25.7ml、7.5±2.9d),the difference was statistically significant (P<0.05).the pelvic adhesions rate and uterine fibroids recurrence rate were (11.7%、13.3%)、(36.6%、30%),and the pelvic adhesions rate had significant difference (P<0.05),the uterine fibroids recurrence rate had no significant difference (P>0.05). Conclusion This study suggests that the advantages of laparoscopic myomectomy were less bleeding in surgery,short postoperative hospi-tal stay,but for the small fibroids,the detection was poor,and there was the risk of recurrence after surgery.

刘芙蓉、黄菊芳、张雪辉、邓越文

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衡阳市妇幼保健院 湖南衡阳 421001

腹腔镜 开腹 子宫肌瘤 价值

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(2)
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