无气腹悬吊式腹腔镜与传统气腹腹腔镜对后壁巨大子宫肌瘤剜除术的临床疗效比较  

The comparison of abdominal-wall-lift gasless and convention laparoscopy in myomectomy for gigantic hysteromyoma in posterior wall

作　　者：吴继蓉[1] 彭晓梅[1] 陈霞[1] 

机构地区：[1]成都市第五人民医院妇产科,四川成都611130

出　　处：《西部医学》2012年第9期1697-1698,1701,共3页Medical Journal of West China

摘　　要：目的探讨无气腹悬吊式腹腔镜在困难子宫肌瘤剜除术中的应用价值。方法对比分析2009年1月～2011年12月在妇产科同期施行无气腹腹腔镜与气腹腹腔镜后壁巨大子宫肌瘤剜除情况,比较两者手术时间、术中出血量、术后排气时间、住院日、住院费用等情况。结果两组患者术中无并发症发生,无气腹组手术时间(67.6±24.7)min,术中出血量(80.0±50.1)ml,术后排气时间(1.1±0.5)d,平均住院日(7.2±1.8)d,平均住院费用(6274.5±500.4)元;气腹组手术时间(108.1±25.3)min,术中出血量(184.9±56.3)ml,术后排气时间(2.6±0.4)d,住院日(10.2±2.9)d,住院费用(7510.8±624.7)元。组间比较,差异有显著性(均P<0.05)。结论无气腹悬吊式腹腔镜后壁巨大子宫肌瘤剜除术优于传统气腹腹腔镜,可能会成为子宫肌瘤剜除术的标准术式。Objective To discuss the value of abdominal lift gasless laparoscopy in g myomectomy for gigantic hysteromyoma in posterior wall.Methods Operation time,blood loss,anus exhaust time,the hospital day,and the cost of hospitalization were compared between 30 cases with gigantic hysteromyoma in the uterus back wall undergone laparoscopy without pneumoperitoneum and 30 cases undergone conventional laparoscopy.Results The general conditions（number and size of myoma） of 2 groups were not significantly different.There were no complications in both group.The average operating time（67.6±24.7）min,the amount of bleeding（80.0±50.1）ml,anus exhaust time（1.1±0.5）d,the hospital day（7.2±1.8）d,and the cost of hospitalization（6274.5±500.4）RMB of Abdominal-wall-lift gasless laparoscopy group were significantly shorter and cheaper than those of convential laparoscopy group（108.1±25.3）min,（184.9±56.3）ml,（2.6±0.4）d,（10.2±2.9）d,（7510.8±624.7）RMB（P0.05）.Conclusion Gasless laparoscopy exhibits more advantages than conventional laparoscopy in myomectomy for gigantic hysteromyoma in the uterus back wall,and it may become the standard surgery for myomectomy.

关 键 词：无气腹 悬吊式 气腹 腹腔镜 后壁巨大子宫肌瘤剜除术 

分 类 号：R737.33[医药卫生—肿瘤]