腹腔镜与开腹子宫肌瘤剔除术比较  

A Comparison between Transabdominal and Laparoscopic Myomectomy

作　　者：龙棣[1] 成九梅[1] 王海鸥[1] 李云飞[1] 朱宪[2] 

机构地区：[1]首都医科大学附属复兴医院妇产科 [2]首都医科大学门诊部

出　　处：《首都医科大学学报》2005年第6期752-754,共3页Journal of Capital Medical University

摘　　要：目的探讨腹腔镜与开腹子宫肌瘤剔除术的疗效及其临床应用价值。方法回顾分析2003年10月至2004年9月复兴医院妇产科收治的53例腹腔镜下子宫肌瘤剔除术和40例开腹子宫肌瘤剔除术的临床资料。结果手术均顺利完成,无术中及术后并发症。腹腔镜肌瘤剔除术后患者排尿、排气时间及术后病率均小于开腹组,开腹肌瘤剔除组的手术时间短于腹腔镜组,且其剔除肌瘤数大于腹腔镜肌瘤剔除组,差异有统计学意义(P<0.01)。结论腹腔镜下子宫肌瘤剔除术具有创伤小、恢复快等优点,是一种安全有效的手术方法,而开腹子宫肌瘤剔除术更适用于病情复杂的病例,术者应根据患者的病情正确选择手术方式。Objective To investigate the efficacy and clinical value of transabdominal myomectomy （TAM） and laparoscopic myomectomy（LM）. Methods The clinical date of 53 cases of LM and 40 cases of TAM were retrospectively analyzed. Results All operations were performed successfully. No operation-related complications occurred in any cases. Compared with group TAM the group LM has many advantages in postoperative farting time and uriating time. The operating time in group TAM is markedly more than that in group LM. Conclusion LM has the advantages of less invasion, early resumption of normal activities. LM is safe and effective means for simple cases. TAM is more fit for complex cases. The operation patterns should be chosen properly.

关 键 词：子宫肌瘤 子宫肌瘤剔除术 腹腔镜 排气时间 

分 类 号：R737.33[医药卫生—肿瘤]