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目的比较腹腔镜下子宫肌瘤剔除术和腹式子宫肌瘤剔除术的临床疗效。方法选取2006年1月至2009年12月在河南煤化集团鹤壁煤业公司总医院妇产科行子宫肌瘤剔除术的患者102例,随机纳入腹腔镜手术组(A组:50例)和开腹手术组(B组:52例),比较两组手术时间、出血量、肛门排气时间、住院时间及术后复发率。结果两种手术均顺利完成,无转换手术方式。A组的手术时间为(85.33±5.46)min,B组(66.20±6.45)min(P<0.05);A组术中出血量为(68.23±10.11)ml,B组(98.64±11.93)ml(P<0.05);A组肛门排气时间为(18.59±4.16)h,B组(29.11±5.53)h(P<0.05);A组住院时间为(4.27±1.01)d,B组(6.32±0.98)d(P<0.05);A组术后复发率为2.0%,B组1.9%(P>0.05)。结论与开腹手术比较,腹腔镜下子宫肌瘤剔除术手术时间短,出血量少,术后恢复快,是一种安全有效的手术方法。
Objective To compare the clinical efficacy of laparoscopic myomectomy and abdominal myomectomy. Methods From January 2006 to December 2009, 102 patients with myomectomy in Obstetrics and Gynecology Hospital of Hebi Coal General Hospital of Henan Coal Group were randomly divided into three groups: laparoscopic surgery group (n = 50) and open Abdominal surgery group (group B: 52 cases). The operation time, bleeding volume, anal exhaust time, hospitalization time and postoperative recurrence rate were compared between the two groups. The results of both operations were successfully completed, no conversion surgery. The operative time in group A was (85.33 ± 5.46) min and in group B (66.20 ± 6.45) min (P <0.05). The intraoperative blood loss in group A was (68.23 ± 10.11) ml and that in group B was (98.64 ± 11.93) ml (P <0.05). The time of anal exhaust in group A was (18.59 ± 4.16) h and in group B (29.11 ± 5.53) h (P <0.05). The hospitalization time in group A was (4.27 ± 1.01) d and in group B 0.98) d (P <0.05). The recurrence rate was 2.0% in group A and 1.9% in group B (P> 0.05). Conclusion Compared with laparotomy, laparoscopic myomectomy surgery less time, less bleeding, postoperative recovery is a safe and effective surgical method.