腹腔镜下子宫肌瘤剔除术与开腹手术的疗效比较

熊小琴

（柞水县中医医院，陕西 商洛，711400）

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摘要：

目的 探讨腹腔镜下子宫肌瘤剔除术与开腹手术的临床疗效。方法 选取2009年12月至2015年12月我院接收治疗的260例子宫肌瘤患者为研究对象，分为腹腔镜组（148例）和开腹组（112例），腹腔镜组患者实施腹腔镜下子宫肌瘤剔除术，开腹组采用传统开腹切除肌瘤术，比较两组患者手术时间、术中出血量、下床活动时间、住院时间以及并发症发生情况。结果腹腔镜组手术时间、术中出血量、下床活动时间、住院时间均优于开腹组，两组比较差异具有统计学意义（P<0.05）。腹腔镜组 术后并发症发生率为4.73%，开腹组并发症发生率为16.07%，两组比较差异具有统计学意义（P<0.05）。术后随访1~3个月，患者均恢复较好。结论 腹腔镜下子宫肌瘤剔除术手术时间短，切口小，患者术后痛苦轻，可提前下床活动，减少住院时间，加快机体恢复。

关键词：腹腔镜；子宫肌瘤剔除术；开腹手术

中图分类号：R737.33文献标志码：A文章编号：2096-1413(2017)02-0065-02

The effect comparison of laparoscopic myomectomy and open surgery
XIONG Xiao-qin
(Chinese Medicine Hospital in Zhashui County, Shangluo 711400, China)

ABSTRACT: Objective To investigate the clinical effects of laparoscopic myomectomy and open surgery. Methods Two hundred and sixty patients with uterine fibroids in our hospital from December 2009 to December 2015 were selected and divided into the laparoscopic group (148 cases) and laparotomy group (112 cases). Patients in the laparoscopic group were treated by laparoscopic myomectomy, while patients in the laparotomy group were treated by traditional laparotomy surgery. The operative time, blood loss, ambulation time, hospital stays and complications in the two groups were compared. Results The operative time, blood loss, ambulation time and hospital stays in the laparoscopic group were better than those in the laparotomy group, and the differences were statistically significant (P<0.05). The incidence of postoperative complications in laparoscopic group was 4.73%, which was significantly lower than that 16.07% in the laparotomy group, and the difference was statistically significant (P<0.05). Follow-up 1-3 month after the operation, patients were all better recovery. Conclusion Laparoscopic myomectomy surgery can reduce hospital stays and accelerate the recovery time with shorter operation time, small incision and early ambulation to alleviate the suffering of patients.
KEYWORDS: laparoscope; myomectomy; open surgery

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