目的 比较悬吊式无气腹腹腔镜与传统腹腔镜在子宫肌瘤剔除术中的优越性.方法 70例子宫肌瘤患者被随机分成悬吊式无气腹腹腔镜剔除子宫肌瘤组(34例)和传统气腹腹腔镜剔除子宫肌瘤组(36例).所有患者均由相对固定的一组医生进行手术,记录手术时间、术中出血以及术后腹腔引流量、体温恢复时间等情况.结果 两组均能完成子宫肌瘤的剔除,与传统腹腔镜手术相比,悬吊式腹腔镜组手术时间短,术中及术后出血量较少,差异有统计学意义.术后体温恢复正常时间、肛门排气时间方面差异无统计学意义.结论 悬吊式无气腹腹腔镜与传统腹腔镜均能成功地完成子宫肌瘤的剔除,但是悬吊式元气腹腹腔镜在子宫肌瘤别除术方面显示出更多的优势.%Objective To compare the feasibility,safety,reliability and postoperative outcomes of myomectomy per formed by gasless laparoscopy and conventional laparoscopy. Methods 60 women with symptomatic uterine myomas were random ly divided into gasless laparoscopy group ( n = 30 ) and conventional laparoscopy group ( n = 30). All procedures were performed by same surgeons. Surgical duration, blood loss, drainage volume from abdominal cavity, time for body temperature recovery and dis charge time were recorded. Results Compared with conventional laparoscopica myomectomy, gasless laparoscopy resulted in less intra-operative and postoperative blood loss, shorter operating time and less postoperative abdominal drainage volume. However time for body temperature recovery and discharge time had no significantly differences between two groups. Conclusion Both gas less laparoscopy and conventional laparoscopy are suitable options for uterine myomectomy. However,gasless laparoscopy exhibits more advantages than conventional laparoscopy.
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