腹腔镜下宫颈肌瘤剔除术的临床分析  

Clinical analysis of laparoscopic myomectomy for patients with cervical myoma

作　　者：施如霞[1] 郑虹[1] 蒋鹏程[1] 谢晔玲[1] 丁玲[1] 

机构地区：[1]南京医科大学附属常州市第二人民医院妇科,江苏常州213003

出　　处：《中国内镜杂志》2008年第3期278-280,共3页China Journal of Endoscopy

摘　　要：目的探讨腹腔镜下宫颈肌瘤剔除术的手术方式和临床效果。方法回顾性分析2002年6月～2006年6月在该院行腹腔镜下宫颈肌瘤剔除术40例(腹腔镜组)的临床资料,随机抽取1999年1月～2005年6月开腹行同类手术40例患者(开腹组)作为对照。结果腹腔镜组平均术中出血为108.0mL,开腹组为243.9mL;腹腔镜组平均术后抗生素应用时间为5.6d,开腹组为7.1d;腹腔镜组平均术后住院时间为5.6d,开腹组为7.9d;以上各项数据两组间比较,差异均有极显著性(P<0.001)。两组在肌瘤大小(分别为6.0cm和6.6cm)和手术时间(分别为83min和90min)方面比较,差异均无显著性(P>0.05)。结论腹腔镜下能完成宫颈肌瘤剔除术,与同类开腹手术相比,具有创伤小、恢复快等优点。[Objective] To investigate the best treatment method and clinical efficacy of laparoscopic myomectomy for patients with cervical myoma. [Methods] This retrospective study subjects were divided into two groups： forty patients underwent laparoscopic myomectomy; and forty patients underwent abdominal myomectomy. [Results] Compared to the patients in group of abdominal myomectomy, the patients in group of laparoscopy had less blood loss （108 mL vs 243 mL）, shorter period of taking antibiliotics （5.6 d vs 7.1 d） and hospital stay （5.6 d vs 7.9 d） （P〈 0.001）. However, there were no significant difference in myoma size and operation time between the two groups （P 〉 0.05）. [Conclusions] The efficacy of laparoscopic myomectomy for patients with uterine cervical myoma is similar to abdominal myomectomy. Laparoscopic myomectomy has advantages of minimal invasion and quick recovery.

关 键 词：子宫肿瘤 宫颈肿瘤 腹腔镜手术 肌瘤切除术 

分 类 号：R713.4[医药卫生—妇产科学]