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目的:讨论腹腔镜下子宫腺肌症子宫切除的临床疗效。方法:对腹腔镜下子宫腺肌症子宫切除38例(A组)、开腹子宫腺肌症子宫切除50例(B组)进行回顾性分析。结果:比较A、B两组手术时间、术中出血量、术后排气时间、术后3d体温、术后平均住院时间差异有统计学意义(P<0.01)。术后随访两组均无周期性腹痛。结论:腹腔镜下子宫腺肌症子宫切除优于开腹子宫腺肌症子宫切除。
Objective: To discuss the clinical efficacy of laparoscopic hysterectomy of adenomyosis. Methods: 38 cases of hysterectomy of adenomyosis under laparoscopy (group A) and 50 cases of open hysterectomy of adenomyosis (group B) were retrospectively analyzed. Results: The operation time, intraoperative blood loss, postoperative exhaust time, postoperative 3d temperature and postoperative average length of stay in hospital A and B were significantly different (P <0.01). There were no recurrent abdominal pain in both groups after follow-up. Conclusion: Laparoscopic adenomyosis hysterectomy is superior to open hysterectomy for adenomyosis.