不同手术方式下子宫肌瘤剥除术的临床疗效对比

摘要

目的:探讨传统开腹、传统腹腔镜及机器人辅助腹腔镜切除子宫肌瘤的临床疗效.方法:回顾性分析2012年12月至2013年10月因子宫肌瘤就诊于第二军医大学长海医院的54例患者的临床资料.54例患者按照手术方式分为传统开腹组、传统腹腔镜组及机器人辅助腹腔镜组,比较3组患者手术相关指标及术后并发症的发生情况.结果:机器人辅助腹腔镜组手术用时与其他两组差异无统计学意义,出血量明显少于其他两组(P<0.05),肠道功能恢复时间短于其他两组(P<0.05).3组患者术后24 h引流量和术后并发症发生率差异无统计学意义.机器人辅助腹腔镜组与传统腹腔镜组患者术后住院天数均少于传统开腹组(P<0.05).传统开腹组术后发生切口疼痛1例.结论:机器人辅助腹腔镜手术切除子宫肌瘤疗效确切,术中出血少、术后肠道功能恢复快,有利于早期康复.%Objective:To study the clinical effect and application value of abdominal open surgery,conventional laparoscopy,robot-assisted laparoscopy for the treatment of uterine fibroids.Methods:The clinical data of 54 patients with uterine fibroids admitted to Changhai Hospital of Navy Medical University from December 2012 to October 2013 were analyzed retrospectively.They were divided into the open surgery group,the conventional laparoscopy group and the robot-assisted laparoscopy group.The operation status and postoperative complications were compared between the three groups.Objective:The surgical time of the robot-assisted laparoscopy group had no significant difference with the other two groups,but the amount of bleeding was significantly less than that in the other two groups(P<0.05),and the intestinal function recovery time was greatly shortened(P<0.05).There were no significant differences between the three groups in postoperative 24 h drainage and postoperative complication rate.The length of postoperative hospital stay of the robot-assisted laparoscopy group and the conventional laparoscopy group was significantly less than that in the open surgery group(P<0.05).There was 1 case of incision pain after operation in the open surgery group.Conclusions:The effect of robot-assisted laparoscopy for the treatment of uterine fibroids is accurate,with less intraoperative bleeding and fast postoperative intestinal function recovery.It is conducive to early recovery,and of high clinical application value.