腹腔镜与开腹对子宫巨大肌瘤剔除的疗效分析  

Effect of laproscopy and laparotomy on gigantic hysteromyoma myomectomy

作　　者：黄群欢[1] 黄燕[1] 蒋宋薇[1] 黄玲玲[1] 

机构地区：[1]广西医科大学第一附属医院妇产科,南宁530001

出　　处：《中华腔镜外科杂志（电子版）》2014年第4期27-29,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：广西教育厅科研项目(No.201203YB050)

摘　　要：目的探讨腹腔镜或开腹在子宫巨大肌瘤剔除术中的应用效果。方法回顾性分析2009年1月至2013年12月我院收治的肌瘤直径≥8 cm的经开腹子宫肌瘤剔除术患者103例(开腹组)和经腹腔镜子宫肌瘤剔除术患者122例(腔镜组)。分析比较两组患者平均手术时间、术中失血、术后恢复时间等情况。结果与开腹组比较,腹腔镜组无中转开腹和切口愈合不良的患者,且腹腔镜组术中平均失血(48.24±9.72)ml、术后平均卧床时间(12.89±2.10)h和术后平均肛管恢复排气时间(22.46±2.21)h等指标均小于开腹组(P<0.05)。结论由于腹腔镜切口美观、患者术后恢复快,在条件许可的医疗单位可用于子宫巨大肌瘤剔除术。Objective To analyze the effect of laproscopy and laparotomy on gigantic hysteromyma mymectomy. Methods Clincal data of 122 cases of myomectomy by laproscopy（ laproscopy group）and 103 cases by open laparotomy（ laparotomy group）,during the period of Jan. 2009 to Dec. 2013,were collected and analyzed. The size of hysteromyoma in all cases were all ≥ 8 cm. Results The processes of all operations were successful without any complication. The mean blood loss of the laproscopy group was （48. 24 ± 9. 72）ml,the laparotomy group was（76. 02 ± 10. 21）ml,there was significant difference between two groups（ P 〈 0. 05）. The mean time in bed and the mean recovery time of bowel function postoperative of the laproscopy group were also significantly shorter than that of the laparotomy group（P 〈0. 05）. Conclusion Laproscopy is micro-invasive and available for cases of gigantic hysteromyoma myomectomy.

关 键 词：子宫巨大肌瘤 腹腔镜 子宫肌瘤剔除术 

分 类 号：R737.33[医药卫生—肿瘤]