目的 比较腹腔镜和开腹子宫肌瘤切除术的临床效果.方法 回顾分析61例腹腔镜下子宫肌瘤切除手术患者与同期43例开腹子宫肌瘤切除手术患者的临床资料.结果 腹腔镜组术后住院时间、肛门排气时间、体温恢复正常时间、生活恢复自理时间均明显短于开腹组,差异均有统计学意义(t=7.995,P<0.01);术后止痛剂使用率明显降低,差异有统计学意义(χ2= 4.342,P<0.01).两组手术时间、术中出血量、术后两年内复发率及妊娠率大致相同,差异均无统计学意义(均P>0.05).结论 腹腔镜子宫肌瘤切除术具有创伤小,术后康复快,疼痛轻等优点,安全有效.%Objective To compare the clinical effects of laparoscopic myomectomy and abdominal myomectomy. Methods The clinical data of 61 cases with laparoscopic myomectomy and that of 43 cases of abdominal myomectomy at the same period were retrospectively analyzed. Results The hospital stay, time of deflation by anus, temperature redintegration time and self-care redintegration time in laparoscopic myomectomy group were obviously shorter than those of abdominal myomectomy group, and the differences were significant ( t =7. 995, P<0.01 ). The use rate of analgesic after surgery in former group was lower, and there was statistical difference (χ2 = 4. 342 ,P < 0.01 ). There were no statistical differences in operating time, intraoperative blood loss, recurrence rate within two years and postoperative pregnancy rate between two groups ( all P >0. 05 ). Conclusion Laparoscopic myomectomy has the characteristics of minimal injury, quick recovery, less pain and effectiveness.
展开▼
