腹腔镜与开腹手术治疗子宫肌瘤的疗效比较  

Comparison of therapeutic effect between laparoscopic and open operation for the treatment of uterine fibroids

作　　者：张延玲[1] 党飞荣 刘霞[1] 

机构地区：[1]陕西省榆林市第一医院妇产科,榆林719000

出　　处：《中国肿瘤临床与康复》2013年第12期1402-1403,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨腹腔镜与开腹手术治疗子宫肌瘤的临床效果。方法选取2012年1月至2013年1月间我院收治的80例子宫肌瘤患者,随机为观察组和对照组,每组40例。观察组患者采用腹腔镜手术方式进行治疗,对照组患者采用开腹手术方式进行治疗,比较两组患者的临床治疗效果。结果观察组患者手术时间为(1.5±2.2)h,手术出血量为(90.34±34.34)ml,术后下床活动的时间为(2.1±1.1)h,住院天数为(7.5±4.2)d。对照组患者手术之间为(1.9±2.8)h,手术出血量为(120.23±43.32)ml,术后下床活动时间为(3.4±2.1)h,住院天数为(10.2±7.2)d。两组比较,差异均有统计学意义(P<0.05)。结论腹腔镜手术治疗子宫肌瘤手术时间短、出血量低、术后恢复快、住院时间短,值得临床推广。Objective To investigate the laparoscopic and open surgery clinical effects of uterine fibroids. Methods Selected from January 2012 to January 2013 into the uterine fibroid patients in our hospital for treatment of 80 cases,these 80 patients were randomly divided into the observation group（ n = 40） and control group（ n = 40）. Observation group of 40 patients using the laparoscopic approach for the treatment,the control group using open surgery approach to treatment,clinical outcomes were observed and compared. Results The surgery time of the observation group patients was（ 1. 5 ± 2. 2） h,bleeding volume was（ 90. 34 ± 34. 34） ml,postoperative ambulation time was（ 2. 1 ± 1. 1） h,the number of days of hospitalization was（ 7. 5 ± 4. 2） d. The surgery time of the control group patients was（ 1. 9 ± 2. 8） h,surgical blood loss was（ 120. 23 ± 43. 32） ml,postoperative ambulation time was（ 3. 4 ± 2. 1） h,hospitalized the number of days to（ 10. 2 ± 7. 2） d. The difference between the two groups had statistical significance（ P〈0. 05）. Conclusions Laparoscopic surgery,surgical time is short,low blood volume,rapid postoperative recovery and shorter hospital stay and other characteristics,it is worthy of promotion.

关 键 词：腹腔镜 开腹手术 子宫肌瘤 

分 类 号：R737.33[医药卫生—肿瘤]