开腹及腹腔镜子宫肌瘤剔除术临床分析.docVIP

开腹及腹腔镜子宫肌瘤剔除术临床分析[摘要] 目的：比较开腹手术和腹腔镜治疗子宫肌瘤的临床疗效。方法：将本院2009年1月～2011年2月收治的子宫肌瘤患者72例，根据患者知情同意的原则，随机分为对照组与观察组，每组36例，对照组给予传统的开腹手术治疗，观察组给予腹腔镜手术治疗，观察两组患者手术时间、术中出血量、肛门排气时间和住院时间等围术期情况；比较两组患者复发率以及并发症发生率等术后指标。结果：观察组的手术时间、术中出血量、肛门排气时间和住院时间均明显少于对照组（P0.05）。结论：腹腔镜下子宫肌瘤剔除术的临床效果优于传统的开腹手术，值得在临床中推广应用 [关键词] 腹腔镜；开腹手术；子宫肌瘤剔除术；临床分析 [中图分类号] R737.33 [文献标识码] A [文章编号] 1674-4721（2011）11（c）-028-02 Clinical analysis of open surgery and laparoscopic myomectomy QIN Ye Obstetrics and Gynecology Department, Songzi People′s Hospital of Hubei Province, Songzi 434200, China [Abstrac] Objective: To compared the open surgery and laparoscopic treatment of uterine fibroids clinical efficacy. Methods: The hospital in January 2009 to February 2011 were treated 72 patients with uterine fibroids, according to the principle of informed consent, patients were randomly divided into control group and observation group, each group of 36 cases, the control group received traditional open abdominal surgery, open surgery given the observation group were observed in patients with operation time, blood loss, anal exhaust time and length of stay and other perioperative situations; two groups were compared the recurrence rate and complication rate of surgery after the index. Results: The operative time, blood loss, anal exhaust time and hospital stay were significantly less than the control group (P0.05). Conclusion: Laparoscopic myomectomy clinical results superior to the traditional open surgery, is worth promoting the application in clinical. [Key words] Laparoscopy; Open surgery; Myomectomy; Clinical analysis 子宫肌瘤是女性生殖器官常见肿瘤，发生率为20%～30%，且呈现逐年上升趋势，传统的子宫肌瘤常采用开腹手术治疗，但开腹手术的创伤性较大，并发症和复发率高不利于患者术后康复，近年来随着微创技术的发展，腹腔镜子宫肌瘤剔除术由于具有创伤小，出血少以及住院时间短的优点，日益受到临床研究者的重视，已成为许多医疗机构的首选方法[1]。本文比较两种治疗子宫肌瘤方法的临床疗效，现报道如下： 1 资料与方法 1.1 一般资料 选择本院2009年1月～2011年2月收治的子宫肌瘤患者72例，所有患者均符合子宫肌瘤剔除术适应证。年龄28～45岁，平均（36.4±4.8）岁；体重52～70 kg，平均（61.9±5.5） kg；身高158～172 cm，平均（160.1±10.2） cm；其中，肌壁间肌瘤39例，浆膜下肌瘤33例。按照患者知情同意的原则，随机分为对照组与观察组，每组36