腹腔镜手术与开腹手术治疗子宫肌瘤的比较分析  

Comparative study of laparoscopic surgery and laparotomy in treatment of uterine fibroids

作　　者：何佳[1] 杨学荣[1] 嫣利梅 

机构地区：[1]遂宁市人民医院妇产科,四川遂宁629000

出　　处：《局解手术学杂志》2004年第6期388-389,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的　探讨腹腔镜手术对子宫肌瘤的治疗价值。方法　 12 0例子宫肌瘤患者随机分为腹腔镜手术组和剖腹手术治疗组 ,对两组手术时间、术中出血量、手术并发症、术后恢复情况及疾病复发进行比较分析。结果　 60例腹腔镜手术时间平均 12 8.6min ,术中出血平均 92 .4ml ,剖腹手术组手术时间平均 10 4.3min ,术中出血平均 88.2ml。腹腔镜和剖腹手术组术后并发症发生率分别为 7.7%和 15 %。腹腔镜组手术时间明显长于剖腹手术组 (P <0 .0 1)。结论　腹腔镜下子宫肌瘤切除术用于治疗子宫肌瘤具有创伤小。Objective To investigate the clinical value of laparoscopic surgery in treatment of uterine fibroids. Methods A total of 120 cases of uterine fibroids were randomly divided into laparoscopic group and laparotomic group. The intraoperative time and blood loss and postoperative complications and recovery in both groups were compared. Results The average operative time was 128.6 min in the laparoscopic group and 104 3 min in the laparotomic group, respectively (P<0.01). The mean operative blood loss was 92.4 ml and 88. 2 ml, respectively. The occurrence rates of complications in the laparoscopic group and the laparotomic group were 7.7% and 15%, respectively. Conclusion Laparoscopic surgery which is minimally invasive and can result in lower occurrence rate of complications can be an option for the treatment of uterine fibroids.

关 键 词：子宫肌瘤 腹腔镜 手术治疗 

分 类 号：R737.33[医药卫生—肿瘤]