悬吊式腹腔镜在子宫肌瘤切除术中的应用  

The clinical application of the suspended laparoscopy in myomectomy

作　　者：刘娟[1] 张丽娜[1] 

机构地区：[1]江苏省苏州市吴中人民医院妇产科,215000

出　　处：《蚌埠医学院学报》2015年第12期1655-1657,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨悬吊式腹腔镜在子宫肌瘤切除术中的应用价值。方法:选择悬吊式腹腔镜下子宫肌瘤切除术(悬吊组)和经腹子宫肌瘤切除术(开腹组)各20例。比较2组手术时间、术中出血量、肌瘤直径、术后排气时间、术后疼痛评分、住院时间和住院费用等相关指标。结果:2组手术均顺利完成。2组患者手术时间和肌瘤直径差异均无统计学意义(P>0.05)。悬吊组患者术中出血量和住院时间均少于开腹组(P<0.01和P<0.05),而术后切口疼痛评分明显低于开腹组,术后排气时间显著早于开腹组(P<0.01),但住院费用明显高于开腹组(P<0.01)。结论:悬吊式腹腔镜手术在妇科应用中具有安全性高、操作简便、切口美观、术后恢复快、疼痛轻、住院时间短等优点。Objective： To explore the application value of suspended laparoseopy in myomectomy. Methods： Forty patients were divided into the suspended group（20 cases treated with suspended laparoscopy in myomectomy） and laparotomy group （20 cases treated with laparoscopy in myomectomy）. The operation time, intraoperative blood loss, myoma diameter, postoperative pain score, and hospitalization and hospitalization cost between two groups were compared. Results：The operations of two groups were successfully completed. The differences of operation time and diameter of myoma between two groups were not statistical significance （ P 〉 0.05 ）. The intraoperative blood loss and hospitalization time in suspended group were less than those in laparotomy group（P 〈0. O! and P 〈 O. 05 ）. The postoperative pain score and exhaust time in suspended group were significantly lower and earlier than those in laparotomy group, respectively（P 〈 0.0! ）. The hospitalization cost in suspended group was significantly higher than that in laparotomy group（P 〈 0. O1 ）. Conclusions：The clinical application of suspended laparoscopy in myomectomy is high safety, easy operation, beautiful incision, quick recovery, light pain and short hospitalization time.

关 键 词：腹腔镜术 悬吊式 子宫肌瘤切除术 

分 类 号：R572[医药卫生—消化系统]