腹腔镜子宫肌瘤切除术与开腹子宫肌瘤切除术的临床比较

摘要

Objective:To compare the clinical efficacy of laparoscopic myomectomy with abdominal myomectomy.Method:110 cases with uterine fibroids resection were choosed from January 2012 to December 2014 in our hospital,they were randomly divided into two groups,55 cases in each group.The observation group was underwent laparoscopic myomectomy,the control group was underwent abdominal myomectomy,operative time,blood loss,postoperative flatus, analgesia pump time,hospital stay,incidence of complications in the two groups were compared.Result:Operative time,blood loss,postoperative flatus, analgesia use of time,the number of days in hospital after surgery in the observation group were better than those in the control group,there were significant differences between the two groups(P<0.05).The complication rate of the observation group(7.3%) was significantly lower than that of the control group(21.8%), there were significant differences between the two groups(P<0.05).Conclusion:Laparoscopic myomectomy has advantages of small surgical trauma,rapid postoperative recovery,shorter analgesia use of time and postoperative hospital days,low complication rate,so it is worthy of wider application.%目的：探讨腹腔镜子宫肌瘤切除术和传统开腹子宫肌瘤切除术的临床疗效。方法：入选2012年1月-2014年12月在笔者所在医院行子宫肌瘤切除术患者110例，随机分成两组，各55例。观察组行腹腔镜传下子宫肌瘤切除术，对照组行传统开腹子宫肌瘤切除术，分别比较两组的手术时间、术中出血量、术后肛门排气时间、镇痛泵使用时间、术后住院天数及并发症发生率。结果：观察组的手术时间、术中出血量、术后肛门排气时间、术后镇痛泵使用时间、术后住院天数均明显低于对照组，两组比较差异有统计学意义(P<0.05)。观察组的并发症发生率(7.3%)明显低于对照组(21.8%)，两组比较差异有统计学意义(P<0.05)。结论：腹腔镜子宫肌瘤切除术具有手术创伤小、术后恢复快、术后镇痛泵使用时间短、术后住院天数少及并发症发生率低等优势，值得临床广泛应用。