腹腔镜和开腹子宫肌瘤剔除术临床疗效观察(1)
 |
| 第1页 |
参见附件。
[摘要] 目的 探讨腹腔镜和开腹手术子宫肌瘤剔除术的临床疗效。 方法 将本院2009年6月～2011年5月行子宫肌瘤剔除术的60例患者按患者意愿分为开腹组和腹腔镜组各30例，分别采用常规开腹子宫肌瘤切除术和腹腔镜下子宫肌瘤剔除术，对两组患者术中及术后临床指标进行比较。 结果 腹腔镜组术后排气时间、住院时间及术后体温恢复时间均短于开腹组，术中镇静剂的使用次数及出血量少于开腹组，两组比较差异均有统计学意义(P < 0.05)。 结论 腹腔镜子宫肌瘤剔除术具有创伤小、对腹腔干扰少、术后恢复快、疼痛发生率低及住院时间短等优势，是治疗子宫肌瘤的理想术式之一。
[关键词] 子宫肌瘤剔除术；腹腔镜；腹式；疗效观察
[中图分类号] R713 [文献标识码] A [文章编号] 1674-4721(2012)02(b)-0044-02
Clinical observation on hysteromyomectomy treated with laparoscopy and laparotomy
FAN Li
Department of Obstetrics and Gynecology, the People's Hospital of Shenqiu County in He'nan Pronvince, Shenqiu 466300, China
[Abstract] Objective To explore the clinical effect of hysteromyomectomy treated by laparoscopy and laparotomy. Methods Sixty patients with hysteromyomectomy from June 2009 to May 2011 in our hospital were divided into laparoscopy group and laparotomy group, each group had 30 cases, who were given laparoscopy and laparotomy respectively, the effects of operation and recovery of two groups were compared before and after operation. Results The temperature recovery time, hospitalization time and anus exhaust time of laparoscopy group were less than that of laparotomy group, The blood loss and frequency of analgesics of laparoscopy group was less than that of laparotomy group, there were significant difference between the two groups (P < 0.05). Conclusion Hysteromyomectomy with laparoscopy has advantages of micro-invasion, little blood loss, rapid postoperative recovery, low incidence of pain and the shorter hospitalization time and so on, so it is an ideal treatment of uterine myoma surgery method.
[Key words] Hysteromyomectomy; Laparoscopy; Laparotomy; Clinical observation
子宫肌瘤是女性生殖器官常见的良性肿瘤，多发于30～50岁妇女，其发病率为20%～30%，因患者多无或很少有症状，因此临床报道发病率远低于肌瘤真实发病率[1]。目前其治疗方法有药物、介入及手术等治疗方式，但手术仍是主要的治疗方法。笔者对本院2009年6月～2011年5月30例行腹腔镜子宫肌瘤剔除术患者的临床资料进行回顾性分析，现报道如下：
1 资料与方法
1.1 一般资料
本院2009年6月～2011年5月行子宫肌瘤剔除术患者60例，按患者自愿分为腹腔镜下子宫肌瘤剔术组(腹腔镜组)和常规开腹子宫肌瘤切除术组(开腹组)各30例。腹腔镜组平均年龄为(36.6±6.5)岁，肌瘤数≤3个，其中浆膜下肌瘤12例，肌壁间肌瘤18例，开腹组平均年龄为(35.6±7.5)岁，肌瘤数≤3个，其中浆膜下肌瘤10例，肌壁间肌瘤20例。两组患者术前均行宫颈细胞学检查，排除宫颈癌。两组患者的肌瘤数目、位置及年龄等资料比较差异均无统计学意义，具有组间可比性。
1.2 方法
腹腔镜组患者气管插管全身麻醉，臀高头低位截石位，于腹部做四点穿刺，后壁肌瘤置举宫器，气腹压为14 mm Hg。带蒂的浆膜下肌瘤用1号Dexon线套扎蒂部，电凝切断并止血。无蒂肌瘤采用单极电凝切开子宫肌层至瘤体组织，分离肌瘤假包膜后完整剥离肌瘤，创面进行电凝止血 ......
您现在查看是摘要介绍页，详见PDF附件(2629kb)。