腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术的对比研究  

Comparative Study of Laparoscopic Myomectomy and Transabdominal Myomectomy

作　　者：曹修恒[1] 

机构地区：[1]山东省济南市长清区人民医院妇产科,山东济南250300

出　　处：《中外医疗》2017年第33期40-42,共3页China & Foreign Medical Treatment

摘　　要：目的对比腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术的治疗效果,为临床应用提供理论指导。方法方便选取2017年3—5月在该院就诊的子宫肌瘤患者100例,随机分为对照组和实验组各50例。对照组行开腹子宫肌瘤剔除术,实验组行腹腔镜下子宫肌瘤剔除术,通过对术后排气时间、体温恢复正常时间、患者住院时间以及术后并发症情况的对比分析,比较二者的差异性。结果对照组术后排气时间(17.7±1.2)min,实验组为(13.2±1.0)min,(P=0.027);对照组体温恢复正常时间为(20.3±1.7)min,实验组(17.7±1.6)min,(P=0.046);对照组住院时间(10.7±3.5)d,实验组(7.2±2.0)d,(P=0.021)。对照组的不良反应发生率为18%,实验组为6%,(χ2=4.654,P=0.039)。结论腹腔镜下子宫肌瘤剔除术比开腹子宫肌瘤剔除术更加安全有效。Objective This paper tries to compare the effect of laparoscopic myomectomy and transmyomectomy and to provide theoretical guidance for clinical application. Methods 100 patients with myoma of uterus from March to May 2017 in this hospital were randomly divided into two groups： the control group and the experimental group, with 50 patients in each group. The control group was treated with transabdominal myomectomy, the experiment group was treated with laparoscopic myomectomy. The exhaust time, the normal time of the body temperature, the time of hospitalization and the postoperative complications were compared of the two groups. Results The exhaust time of the control group was（17.7±1.2）min, the experimental group was（13.2±1.0）min,（P=0.027）; the normal temperature recovery time of the control group and the experimental group were（20.3±1.7）min and（17.7±1.6）min,（P=0.046）; the hospitalization time of the two groups were（10.7±3.5）d and（7.2±2.0）d,（P=0.021）.The adverse reaction rate of the control group was 18%, and the experimental group was 6%,（χ^2=4.654, P=0.039）. Conclusion Laparoscopic myomectomy is more safe and effective than open myomectomy.

关 键 词：腹腔镜 子宫肌瘤剔除术 有效性 安全性 

分 类 号：R737[医药卫生—肿瘤]