87例腹腔镜下子宫肌瘤剔除术临床疗效分析.docVIP

87例腹腔镜下子宫肌瘤剔除术临床疗效分析 　　[摘要] 目的 研究和探讨在腹腔镜下实施子宫肌瘤剔除手术的临床治疗效果。 方法 选取2011年2月―2012年8月期间该院收治的子宫肌瘤的患者157例作为研究对象，按随机分为观察组（87例）和对照组（70例），观察组在腹腔镜下实施子宫肌瘤剔除手术，对照组实施开腹子宫肌瘤剔除手术，然后观察与记录两组患者手术指标、手术后恢复的时间及复发率。 结果 观察组患者手术时间稍多于对照组，但手术中的出血量和手术排气时间分别为（62.4±5.42）mL、（28.7±3.45）h，明显低于对照组，该两组手术中的出血量和手术排气时间对比，差异有统计学意义；手术后对两组患者进行随访2～24个月。观察组患者的复发率为3.45%（3例），明显低于对照组患者，两组患者对比，差异有统计学的意义（χ2=4.575，P0.05）。结论 在腹腔镜下行子宫肌瘤剔除手术，具有手术过程中出血量少、手术以后恢复时间短的微创疗效，值得在临床大力推广。 　　[关键词] 子宫肌瘤；腹腔镜下子宫肌瘤剔除术；经腹子宫肌瘤剔除术 　　[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-0742（2015）02（c）-0010-02 　　[Abstract] Objective To study and explore the clinical therapeutic effect of laparoscopic uterine myomectomy. Methods 157 cases with hysteromyoma admitted in our hospital from February 2011 to August 2012 were selected as the subjects and divided into the observation group（87 cases） and the control group（70 cases）. The observation group underwent laparoscopic uterine myomectomy， while the control group underwent transabdominal myomectomy. And the indications for surgery， postoperative recovery time and recurrence rate of the two groups were observed and recorded. Results The duration of operation of the observation group was slightly longer than that of the control group. The intraoperative blood loss and postoperative exhaust time of the observation group was （62.4±5.42）ml， （28.7±3.45）h， respectively， obviously less than that of the control group， respectively， the differences between the two groups were statistically significant. The two groups were followed up for 2 to 24 months. The recurrence rate of the observation group was 3.45%（3 cases）， much lower than that of the control group， the difference between the two groups was statistically significant（χ2=4.575， P0.05）. Conclusion Laparoscopic uterine myomectomy is minimally invasive with the advantages of less intraoperative blood loss and shorter postoperative recovery time， therefore it is worth popularizing vigorously in clinical practice. 　　[Key words] Hysteromyoma； Laparoscop