摘要
目的：评估腹腔镜辅助下腹壁小切口行子宫肌瘤剔除术（LAM）的临床应用价值。方法：选择以子宫肌瘤为手术指针的患者56例，根据自愿原则随机分为观察组及对照组。观察组28例行LAM术．即在腹腔镜下剥离肌瘤一半后扩大腹壁正中辅助穿刺点切口至4～5cm长，在腹壁切口外完成整个肌瘤剔除术及子宫创面的缝合。对照组28例行腹腔镜下子宫肌瘤剔除术（LM），即全部手术操作均在腹腔镜下完成。观察记录两组手术时间，术中出血量，术后排气时间。结果：观察组均成功完成LAM术，对照组成功完成25例，中转开腹3例；观察组手术时间为（98±32）min．对照组手术时间为（120±53）min．两组手术时间差异有显著性（P〈0．05）；观察组术中出血量（80±23）mL，对照组术中出血量（130±35）ml，差异有显著性（P〈0．05）；术后排气时间差异无显著性（P〉0．05）。两组均无并发症发生。结论：LAM术保留了腹腔镜手术的优点．使手术难度变小，手术时间缩短，术中出血减少．子宫创面易于修复，值得基层医院推广应用。
Objective.To evaluate the clinical effects of Laparoscopy-combined with minilaparotomy （LAM） on myomectomy of hysteromyoma. Methods：Fifty-six patients with hysteromyoma were randomly divided into two groups. In observation group 28 patients were operated on by LAM. It＇s mean that the incision of puncture point at the middle of abdominal wall was expanded to 4-5 cm in length. After the hysteromyoma was half separated by laparoscopy the decollement of the fibroid and the suture of the uterine wound were completed outside the abdominal incision. In control group 28 patients were operated on with laparoscopic myomectomy（LM）. The duration of operation,blood loss, post-operation complications and full recovery were observed. Results： The operative time in LAM group was shorter than that in the LM group＇s（P〈0.05）;The amount of bleed loss in LAM group was（80±23）mL,significantly less than that in the group of myomectomy by LM （130±35）mL（P〈0. 05）;The two groups showed the same time needed for recovery （P〈0.05）. Conclusion.. LAM operation remains the advantages of laparoscopy,offers a easy myomectomy technique;less the relative amount of time needed to operation;less the amount of bleeding,and it is worthy to be spreaded.
出处
《实用临床医学（江西）》
CAS
2006年第6期101-103,共3页
Practical Clinical Medicine
关键词
腹腔镜
子宫肌瘤剔除术
子宫肌瘤
laparoscopy
myomectomy for hysteromyoma
hysteromyoma
