腹腔镜子宫肌瘤剔除术的临床应用分析  

Analysis of the Clinical Application of Laparoscopic Myomectomy

作　　者：王丽兴[1] 刘忠宇[1] 张姿[1] 李亚[1] 赵恩锋[1] 

机构地区：[1]中国人民解放军总医院妇产科,北京100853

出　　处：《现代生物医学进展》2014年第29期5671-5674,5690,共5页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81250030)

摘　　要：目的:探讨腹腔镜子宫肌瘤剔除术的临床效果及安全性。方法:回顾性分析在我院行腹腔镜子宫肌瘤剔除术的患者68例(实验组)及同期行腹式子宫肌瘤剔除术的患者58例(对照组)的临床资料,比较其临床表现、术中出血量、手术时间,术后最高体温、术后应用抗生素时间、住院时间。结果:实验组术中出血量、术后应用抗生素时间、住院平均时间均显著优于对照组(P<0.05);手术时间较对照组长(P<0.05);两组术后放置引流、术后最高体温比较无差异(P>0.05)。多发、直径≥5 cm的肌瘤腹腔镜子宫肌瘤剔除术术中出血、手术时间较单发、直径<5 cm的肌瘤(P<0.05)显著增加(P<0.05),肌瘤部位对术中出血及手术时间无影响(P>0.05)。结论:腹腔镜子宫肌瘤剔除术术中出血量少,术后恢复快,术中出血及手术时间与肌瘤类型及大小有关,与肌瘤部位无关,是一种治疗子宫肌瘤安全、有效的术式。Objective： To evaluate the clinic effect and safety of laparoscopic myomectomy. Methods： The clinical data of 68 women who underwent hysteromyomectomy under laparoscope （experimental group） and 58 women who underwent open myomectomy （control group） in our hospital were retrospectively analyzed. The clinical manifestation, blood loss, surg ical time, fever time of treatment with antibiotics and average hospital stay were compared between the two groups. Results： The intraoperative blood loss, time of treatment with antibiotics and average hospital stay significantly better in the experimental group than those in the control group（P〈 0.05）. The surgical time was longer in the experimental group than that in the control group （P〈0.05）. There was no difference in the postoperative drainage and fever between the two groups （P〉0.05）. The blood loss and surgical time increased obviously in the patients with multiple myoma and size of myoma -〉 5 cm than those patients with single myoma and size of myoma ≤5 cm （P〈0.05）. No correlation was found in the blood loss and surgical time among different locations of myoma （P 〉0.05）. Conclusion： Laparoscopic myomectomy which had the advantages of less intraoperative blood loss and faster postoperative recovery was an effective and safe treatment of hysteromyoma, the intraoperative blood loss and surgical time were correlated with the type and size of hysteromyoma, but had nothing to do with the position of myoma.

关 键 词：子宫肌瘤 腹腔镜子宫肌瘤剔除术 腹式子宫肌瘤剔除术 临床效果 

分 类 号：R711.74[医药卫生—妇产科学] R713.42[医药卫生—临床医学]