腹腔镜子宫切除术和腹腔镜下子宫肌瘤剔除术对比治疗子宫肌瘤的临床研究

摘要

目的探讨分析临床中子宫肌瘤患者接受腹腔镜子宫肌瘤切除术（LM）和腹腔镜子宫切除术（LH）的效果。方法选择2010～2013年我院的126例子宫肌瘤患者，接受腹腔镜子宫肌瘤切除术的患者有91例，接受腹腔镜子宫切除的患者有35例，对这些患者的临床治疗效果进行探讨分析。结果91名女性接受了LM的治疗，35名女性接受了LH的治疗。LM的平均手术时间短于LH，LM的平均失血量显著少于LH，且LH患者恢复得更快，手术中及手术后短期　　的并发症更少。结论临床中子宫肌瘤患者选择手术治疗方式时，需要根据情况和需求来选择LM或LH手术方式，总体来说LM的治疗方式要更加优秀一些，患者术后可以保留生育能力。%Objective To compare the clinical effect between laparoscopic myomectomy (LM) and laparoscopic hysterectomy (LH) to treat uterine ifbroid. Methods Chose 126 cases of uterine ifbroids patients in our hospital from 2010 to 2013, 91 cases underwent laparoscopic myomectomy, 35 cases underwent laparoscopic hysterectomy, investigated the clinical effect of treatment of these patients. Results 91 patients received LM treatment, 35 women received LH treatment. The average operation time was shorter LM in than in LH, average blood loss was less in LM than in LH, and patients in LH group had faster recovery and fewer complications. Conclusion Uterine ifbroid patients should choose LM or LH operation mode according to the conditions and requirement.