腹腔镜下剔除子宫肌瘤与开腹手术临床疗效对比  

Comparison of the Clinical Efficacy Between Laparoscopic and Open Surgery for the Removal of Uterine Myoma

作　　者：刘秀梅 

机构地区：[1]江苏省兴化市戴南人民医院妇产科,江苏兴化225721

出　　处：《中外医疗》2015年第34期28-30,共3页China & Foreign Medical Treatment

摘　　要：目的对比分析腹腔镜下剔除子宫肌瘤与开腹手术的临床疗效。方法整群收集该院2011年2月—2015年2月期间诊治的64例子宫肌瘤患者作为研究对象,根据患者的治疗方式将其分为腹腔镜手术组(32例)与开腹手术组(32例),开腹手术组患者按照传统开腹手术方式治疗,腹腔镜手术组则采用腹腔镜手术治疗,观察两组患者的手术时间、切口大小、术中出血量、术后肛门排气时间、住院总时间、医疗费用以及术后镇痛药物使用比率、感染率。结果腹腔镜手术组患者的手术时间、术后肛门排气时间、住院总时间明显短于开腹手术组(P<0.05),切口大小明显小于开腹手术组(P<0.05),术中出血量和医疗费用均明显低于开腹手术组(P<0.05),术后镇痛药物使用比率和感染率亦明显低于开腹手术组(P<0.05)。结论腹腔镜下剔除子宫肌瘤的临床效果优于开腹手术治疗。Objective To compare the clinical effect between laparoscopic and open surgery for the removal of uterine my-oma. Methods 64 cases with uterine myoma diagnosed and treated in our hospital from February 2011 to February 2015 were selected as the subjects and divided into the laparoscopic surgery group （32 cases） and open surgery group （32 cases） in accordance with the treatment mode. The open surgery group were treated by the traditional open surgery, and the laparo-scopic surgery group were treated by the laparoscopic surgery. And the duration of procedure, length of incision, intraopera-tive blood loss, postoperative anal exhaust time, length of stay, medical expenses and postoperative analgesic use ratio and the infection rate of the two groups were observed. Results Compared with the open surgery group, the laparoscopic surgery group had much shorter duration of procedure, postoperative anal exhaust time, length of stay （P〈0.05）, obviously shorter length of incision（P〈0.05）, obviously less intraoperative blood loss and medical expenses（P〈0.05）, significantly lower postop-erative analgesic use ratio and the infection rate （P〈0.05）. Conclusion The clinical effect of laparoscopic surgery is better than open surgery for the removal of uterine myoma.

关 键 词：喘嗽宁片 支气管哮喘发作期热哮型 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]