腹腔镜与开腹子宫肌壁间肌瘤剔除手术的临床疗效比较  

Clinical curative effect comparison of laparoscopy and laparotomy for uterine intramural fibroids operation

作　　者：周密 

机构地区：[1]四川省南充市中心医院妇产科,四川南充637000

出　　处：《中国当代医药》2012年第23期58-59,共2页China Modern Medicine

摘　　要：目的比较腹腔镜手术与开腹手术治疗子宫肌瘤的临床疗效。方法回顾性分析2008年5月～2011年5月来本院接受腹腔镜手术与开腹手术治疗的200例子宫肌瘤患者的临床资料。结果两组患者手术时间、术中出血量、肌瘤数目比较,差异有统计学意义(P<0.05)。两组患者手术术式、出血量、肌瘤数目比较,差异有统计学意义(P<0.05)。腹腔镜组患者在体温恢复至正常、肛门排气等时间、术后感染率、使用抗生素及住院时间均优于开腹组患者。结论腹腔镜子宫肌瘤剔除术创伤小,感染少,恢复快,值得临床推广。Objective To compare the clinical efficacy of laparoscopic operation and open operation in treatment of uterine fibroids. Methods The clinical data of 200 cases of uterine myoma patients underwent laparoscopic operation and open operation in our hospiial from May 2008 to May 2011 were retrospectively analyzed. Results The differences of operation time, intraoperative bleeding, myoma number between two groups were statistically significant （P 〈 0.05）. The differences of operation methods, amount of bleeding, myoma number between two groups were statistically significant （P 〈0.05）. Laparoscopy was better than open operation in body temperature returned to normal, anal exhaust time, the incidence of postoperative infection, use of antibiotics and hospital stay. Conclusion Laparoscopic myomectomy has little trauma and infection, quick recovery, worthy of clinical application.

关 键 词：子宫肌瘤 腹腔镜 手术 疗效 

分 类 号：R713.4[医药卫生—妇产科学]