摘要
目的:探讨应用腹腔镜剥除与开腹剥除子宫肌瘤的风险及临床应用价值。方法:将手术治疗的56例子宫肌瘤(肌壁间或浆膜下)患者分为开腹剥除子宫肌瘤组(开腹组)和腹腔镜剥除子宫肌瘤组(腹腔镜组)各28例,记录住院时间、手术时间、术中出血量、术后自主活动时间、术后体温复原时间、术后肛门排气时间、术后是否应用镇痛药、术后体温最高值、术后3 d血常规检测、有无并发症,并对上述指标行配对研究。结果:腹腔镜组住院时间、术中出血量、术后自主活动时间、术后体温复原时间、术后肛门排气时间、镇痛药的应用、血常规恢复正常时间均较开腹组少(P<0.05～P<0.01);但手术时间较开腹组长(P<0.01)。结论:腹腔镜剥除子宫肌瘤安全有效,创伤小,术中出血少,术后恢复较传统开腹手术快。
Objective：To explore the risk and clinical value of laparoscope and laparotomy in resecting hysteromyoma. Methods：The intramural or subserosal hysteromyoma of 56 patients were resected by laparoscope and laparotomy, and these patients were divided into laparoscope and laparotomy group, respectively （each group 28 cases）. The operation time, the hospital stays, the amount of bleeding during operation, the time of independent activity, body temperature recovery and anal exhaust after operation, the postoperative analgesic drug use, the postoperative highest body temperature, the blood routine test at 3 days after operation and the postoperative complications of two groups were investigated by match method. Results： The hospital stays, the amount of bleeding during operation, the time of independent activity, body temperature recovery and anal exhaust after operation, the postoperative analgesic drug use, the time of postoperative blood routine recovery of laparoscope group were less than those in laparotomy group （ P 〈 0.05 to P 〈 0.01 ）. The operation time of laparoscope group was longer than that of laparotomy group（ P 〈 0.01 ）. Conclusions：Compared with the laparotomy group, laparoscopic myomectomy is safe, effective, small trauma, less intraoperative bleeding and rapid recovery.
出处
《蚌埠医学院学报》
CAS
2013年第7期859-861,共3页
Journal of Bengbu Medical College
