Objective To analyze the clinical application value of laparoscopic difficult myomectomy. Methods 116 pa-tients with cervical myoma and uterus broad ligament myoma in Zhoushan Hospital from January 2006 to October 2012 were selected as research objects, and they were randomly divided into control group (routine open myomectomy group) with 58 cases and observation group (laparoscopic myomectomy group) with 58 cases, then the operation time, intraoperative blood loss anal exsufflation time, automatic micturition time, application rate of analgesic drug, postoperative hospital-ization time, complications rate and life quality score before and after the operation of two groups were compared. Re-sults The intraoperative blood loss, anal exsufflation time, automatic micturition time, application rate of analgesic drug, postoperative hospitalization time, complications rate in observation group were respectively (84.25±12.56) mL, (19.86±3.24) h, (16.81±2.88) h, 1.72% (1/58), (4.25±0.62) d and 1.72% (1/58), and they were all better than those in control group [(109.87±15.20) mL, (26.93±4.11) h, (21.26±3.32) h, 8.62% (5/58), (6.32±0.79) d, 12.07% (7/58)]. And physical dimension, psychological dimension, social functions, environment support scores in observation group 1, 2 weeks after the operation were (51.27±6.41), (56.47±6.28), (59.69±6.38), (60.35±6.21) points and (59.86±6.63), (70.73±6.80), (70.24±6.54), (68.84±6.36) points, and they were all higher than those in control group [(43.64±5.81), (45.51±6.16), (50.35±5.80), (51.61±5.82) points and (49.53±6.15), (60.32±6.47), (58.46±6.34), (58.53±6.17) points], the differences were statistically significant (P< 0.05). The difference of operation time between the two groups was not statistically significant (P> 0.05). Conclusion The clinical application value of laparoscopic difficult myomectomy is high, and it can effectively improve various indexes during and after the operation.%目的：探讨腹腔镜困难子宫肌瘤剔除术临床应用价值。方法选取2006年1月~2012年10月舟山医院收治的宫颈肌瘤及子宫阔韧带肌瘤患者116例为研究对象，随机分为对照组(常规开腹子宫肌瘤剔除术组)58例和观察组(腹腔镜子宫肌瘤剔除术组)58例。对两组患者手术时间、术中出血量、肛门排气时间、自主排尿时间、镇痛药物使用率、术后住院时间、并发症发生率及手术前后的生活质量评分进行比较。结果观察组术中出血量、肛门排气时间、自主排尿时间、镇痛药物使用率、术后住院时间、并发症发生率分别为(84.25±12.56)mL、(19.86±3.24)h、(16.81±2.88)h、1.72%(1/58)、(4.25±0.62)d及1.72%(1/58)，均优于对照组的(109.87±15.20)mL、(26.93±4.11)h、(21.26±3.32)h、8.62%(5/58)、(6.32±0.79)d及12.07%(7/58)。术后1、2周生理维度、心理维度、社会功能与环境支持评分分别为(51.27±6.41)、(56.47±6.28)、(59.69±6.38)、(60.35±6.21)分及(59.86±6.63)、(70.73±6.80)、(70.24±6.54)、(68.84±6.36)分，均高于对照组的(43.64±5.81)、(45.51±6.16)、(50.35±5.80)、(51.61±5.82)分及(49.53±6.15)、(60.32±6.47)、(58.46±6.34)、(58.53±6.17)分，差异均有统计学意义(均P<0.05)；但两组手术时间比较差异无统计学意义(P>0.05)。结论腹腔镜困难子宫肌瘤剔除术临床应用价值较高，可有效改善患者术中及术后的多方面指标。
展开▼
