贵州医科大学学报

2015, v.40;No.173(02) 186-188

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腹腔镜与开腹子宫肌瘤剔除术的比较
Comparison between Laparoscopic and Laparotomic Myomectomy

裴桂华;
PEI Guihua;Maternal and Child Health Hospital of Beijing Tongzhou District;

摘要(Abstract):

目的:对比腹腔镜与开腹子宫肌瘤剔除术两种术式治疗效果和并发症的差异。方法:将实施子宫肌瘤剔除术且有生育要求的309例患者分成腹腔镜组与开腹组,比较两组患者手术前、手术中、手术后情况,术后并发症以及术后随访情况。结果:腹腔镜组术后血红蛋白含量低于开腹组,差异有统计学意义(P<0.01);腹腔镜组手术时间、术后腹腔引流量、术后子宫肌瘤残留率以及复发率高于开腹组,差异有统计学意义(P<0.01);开腹组术后肠梗阻、尿潴留发生率高于腹腔镜组,差异有统计学意义(P<0.01)。结论:腹腔镜与开腹子宫肌瘤剔除术用于治疗子宫肌瘤时各有优缺点。
Objective: To compare the difference of clinical effects and complications between laparoscopic and laparotomic myomectomy. Methods: A total of 309 hysteromyoma patients accepting myomectomy and having fertility requirements were divided into laparoscopy group and laparotomy group.The situation during operation,after operation,postoperative complications and postoperative follow-up were compared in two groups. Results: The content of hemoglobin in laparoscopy group was lower than that of laparotomy group( P < 0. 01); The operation time,postoperative drainage volume,postoperative residual uterine fibroids rate and recurrence rate in laparoscopy group were higher than those of laparotomy group,and all differences were statistically significant( P < 0. 01); The complication rate of postoperative ileus and urine retention in laparotomy group were higher than that of laparoscopy group,and differences were statistically significant( P < 0. 01). Conclusions: There are advantages and disadvantages of laparoscopic operation and laparotomy in the treatment of uterine fibroids.

关键词(KeyWords): 子宫肌瘤;妇科外科手术;腹腔镜;对比研究
hysteromyoma;gynecologic surgical procedures;laparoscopes;comparative study

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作者(Author): 裴桂华;
PEI Guihua;Maternal and Child Health Hospital of Beijing Tongzhou District;

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