摘要
目的探讨腹腔镜下行子宫肌瘤剔除术的临床效果。方法回顾性分析腹腔镜下子宫肌瘤剔除术136例（A组）的临床资料，并与同期采取开腹子宫肌瘤剔除术136例（B组）进行比较，比较两组肿瘤大小、术中出血量、手术时间、术后恢复情况、术后抗生素应用时间及术后住院天数。结果两组术中出血量差异无统计学意义（t=0．369，P〉0．05）；两组手术时间差异无统计学意义（t=0．311，P〉0．05）；A组术后排气时间及术后住院天数比B组明显减少，差异均有统计学意义（t=5．678、8．956，均P〈0．05）；A组术后并发症发生率较B组低，但差异无统计学意义（x^2=1．225，P〉0．05）。结论腹腔镜下子宫肌瘤剔除术较开腹子宫肌瘤剔除术创伤小、恢复快，值得临床推广。
Objective To explore the clinical effect of laparoscopic myomectomy. Methods The clinical data of 136 patients received laparoscopic myomectomy（ A group） were analyzed retrospectively. 136 patients received transabdominal myomectomy（ B group） at the same time were selected randomly. The size of hysteromyoma, the a- mounts of blood loss during operatictn, the operation time, the recovery situations after operation, the application time of postoperative antibiotics and hospitalization time after operation in the two groups were compared. Results There was no significant difference in the amount of blood loss during operation and operation time between the two groups （ t = 0. 369,0.311, all P 〉 0.05 ）. The postoperative exhaust time and postoperative hospital stay in group A were signifi- cantly reduced than the B group, the differences were statistically significant （t = 5. 678,8. 956, all P 〈 0.05 ）. The in- cidence rate of postoperative complications in group A was lower than group B, but the difference was not statistically significant （ x^2 = 1. 225,P 〉 0. 05 ）. Conclusion Compared with transabdominal myomectomy, laparoscopic myomec- tomy has the advantages of minimal wound and rapid recovery, and is worthy to be popularized.
出处
《中国基层医药》
CAS
2013年第22期3415-3417,共3页
Chinese Journal of Primary Medicine and Pharmacy
