改良悬吊式腹腔镜子宫肌瘤切除术的临床应用价值  

Study of Improved Gasless Laparoscopic Technique in Myomectomy

作　　者：孙峰[1] 王玉东[1] 万小平[1] 陈金虹[1] 王弓力[1] 

机构地区：[1]上海交通大学附属国际和平妇幼保健院,上海200030

出　　处：《现代生物医学进展》2012年第33期6470-6472,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨改良悬吊式腹腔镜子宫肌瘤切除术的临床应用价值。方法:回顾性分析2010年1月～2011年6月我院实施的改良悬吊式腹腔镜子宫肌瘤切除术(100例,为观察组)、同期开腹子宫肌瘤切除术者(98例,为对照组1)及气腹腹腔镜下子宫肌瘤切除术(98例为对照组2),比较不同手术方法的手术时间、术中出血量、住院时间及术后病率等情况。结果:观察组的术中出血量、手术时间及住院时间(80.45±10.60 mL,78.45±15.50 min,6.2±1.5 days)明显少于对照组1(110.55±16.80 mL,89.85±14.45min,13.3±1.0 days)及对照组2(90.50±15.58 mL,85.25±15.05 min,8.5±1.1 days)(P<0.05)。观察组中术后病率的发生也明显降低(P=0.03)。结论:改良悬吊式腹腔镜子官肌瘤切除术是一种较好的治疗妇科疾病的微创技术,可能会成为子宫肌瘤手术治疗的标准术式。Objective： To observe the clinical effects of treatment of myomas by improved gasless laparoscopy and general laparoscopic and traditional open surgery method. Methods： I00 cases of improved gasless laparoscopic surgery performed in our gynecological department from January,2010 to June, 2011 were analyzed retrospectively, and were compared with 98 cases of general laparoscopic surgery and 98 cases of traditional open surgery in the aspects of duration of operation,volume of bleeding, changes of hemoglobin during perioperative period, hospital staying,postoperative morbidity. Results： The operation time,blood loss,postoperative hospital stay of the three groups （80.45±10.60 mL, 78.45± 15.50 min,6.2±1.5 days vs 110.55±16.80 mL, 89.85± 14.45 min, 13.3±1.0 days vs 90.50_± 15.58 mL, 85.25± 15.05 min,8.5± 1.1 days） were significantly different （P〈0.05）,these results were statistically significant. Conclusion： Improved gasless laparoscopic myomectomy exhibits more advantages than the general laparoscopy, and may become the standard myomectomy.

关 键 词：子宫肌瘤切除术 改良悬吊式腹腔镜 子宫肌瘤 

分 类 号：R713.4[医药卫生—妇产科学]