腹腔镜及开腹行子宫肌瘤剜除术疗效观察.docVIP

腹腔镜及开腹行子宫肌瘤剜除术疗效观察 　　【摘要】 目的：探讨腹腔镜下子宫肌瘤剜除术与传统开腹手术疗效的差异。方法：回顾分析2010年9月-2013年9月来本院进行治疗的子宫肌瘤患者85例，其中50例患者给予腹腔镜子宫肌瘤剜除术为腹腔镜组，35例患者给予子宫肌瘤剜除术为开腹组，对两种手术方式的治疗效果进行比较。结果：腹腔镜组与开腹组相比，两组在手术时间、肠功能恢复时间、手术出血量以及术后发热等方面比较差异均有统计学意义（P0.05）；但两组在年龄、原有腹部手术史、住院时间及并发症上相比差异无统计学意义。结论：腹腔镜子宫肌瘤剜除术具有腹部切口小、术中失血量少、肠道功能恢复较快、疼痛程度轻等优点，是保留子宫并剜除子宫肌瘤的可行性选择，值得临床推广。 　　【关键词】 子宫肌瘤； 腹腔镜手术； 开腹手术 　　Curative Effect Observation of Laparoscopy and Laparotomy Myomectomy Surgery/QIAN Yue-fang.//Medical Innovation of China，2014，11（32）：028-030 　　【Abstract】 Objective：To investigate the differences between laparoscopic enucleation of uterine fibroids with traditional open surgery efficacy.Method：85 patients from September 2010 to September 2013 for treatment of uterine fibroids in our hospital were retrospective analyzed， of which 50 cases were treated with laparoscopic enucleation uterine fibroids for the laparoscopic group， 35 patients were given myomectomy surgery for the laparotomy group， then effect of two surgical methods treatment were compared.Result：Compared with the open group，operative time，recovery time of intestinal function ，blood loss and postoperative fever in laparoscopic group had a significant difference（P0.05）； but age， the original history of abdominal surgery，length of stay and complications of the two groups had no difference.Conclusion：Laparoscopic myomectomy has advantages of less blood loss，faster recovery of intestinal tract， small abdominal incision，mild pain，is feasibility to preserve the uterus and myoma of uterus， is worth to promote in clinic. 　　【Key words】 Uterine fibroids； Laparoscopic surgery； Laparotomy 　　First-author’s address：The Third People’s Hospital of Zhangjiagang City， Zhangjiagang 215611，China 　　doi：10.3969/j.issn.1674-4985.2014.32.010 　　子宫肌瘤是女性生殖器最常见的良性肿瘤，由平滑肌及结缔组织构成，常见于30～50岁的育龄妇女。据相关统计，至少有20%的妇女患有子宫肌瘤[1]。随着生活水平的提高，广大妇女对保留子宫的观念越来越强烈。子宫肌瘤剔除术是治疗子宫肌瘤的一种手术方式，一般而言对于希望保留子宫或者对生育有强烈要求的女性可以选择此种术式。随着科技的发展，腹腔镜手术器材及手术经验也逐步得到完善，越来越多的医院和患者选择腹腔镜手术。选取2010年9月-2013年9月来本院进行治疗的子宫肌瘤患者85