腹腔镜与腹腔镜-阴式子宫肌瘤剔除术的临床对比  

Clinical Comparison between Transvaginal Laparoscopic Myomectomy and Laparoscopic Myomectomy

作　　者：李红[1] 陈静[1] 

机构地区：[1]蓬安县人民医院妇产科,四川蓬安637800

出　　处：《川北医学院学报》2009年第2期146-148,共3页Journal of North Sichuan Medical College

摘　　要：目的比较腹腔镜子宫肌瘤剔除术与腹腔镜-阴式子宫肌瘤剔除术的临床效果。方法2005年3月-2008年12月,140例子宫肌瘤患者在我院接受了手术治疗,其中58例行腹腔镜子宫肌瘤剔除术(腹腔镜组),82例行腹腔镜-阴式子宫肌瘤剔除术(腹腔镜-阴式组),比较两组的术中及术后情况。结果两组的肌瘤大小、术后病率及住院天数比较无显著性差异,但腹腔镜-阴式组剔除肌瘤个数较腹腔镜组多,而术中出血量及手术时间较少。结论腹腔镜-阴式子宫肌瘤剔除术出血少,术后粘连少,适于肌壁间或较深部位子宫肌瘤剔除。Objective To compare the clinical outcomes of transvaginal laparoscopically assisted myomectomy and laparoscopic myomectomy. Methods We analyzed the clinical data of 140 patients with hysteromyoma in our hospital, with laparoscopic myomectomy performed on 58 patients and transvaginal laparoscopic myomectomy performed on 82 patients from March 2005 to December 2008. The operative and post-operative outcomes were compared between the two groups of patients. Results There were no significant differences in the size of myomas, postoperative morbidity or length of hospitalization between the two groups. Compared to laparoscopic myomectomy, however, transvaginal laparoscopic myomectomy removed more myomas with less blood loss during operation and less operative duration. Conclusion Transvaginal laparoscopic myomectomy was of less operative blood loss and fewer postoperative adhesions, suitable for removal of inter-muscular layer or deeper myoma.

关 键 词：腹腔镜手术 子宫肌瘤 

分 类 号：R711.74[医药卫生—妇产科学]