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目的:评估腹腔镜子宫肌瘤剔除术的临床价值。方法:回顾分析2009年8月～2011年8月应用腹腔镜子宫肌瘤剔除术(腹腔镜组)180例与随机抽取开腹子宫肌瘤剔除术(开腹组)80例的临床资料,比较两组手术时间、术中出血量、术后肠功能恢复时间、术后下床活动时间、术后镇痛、术后病率进行分析。结果:两组患者年龄、肌瘤数目、肌瘤大小、术中出血量、手术时间无显著性差异(P>0.05);术后下床活动时间、术后病率、术后镇痛、肠功能恢复时间有显著性差异(P<0.05)。结论:腹腔镜子宫肌瘤剔除术安全可行,效果可靠。
Objective: To evaluate the clinical value of laparoscopic myomectomy. Methods: The clinical data of 180 cases of laparoscopic myomectomy (laparoscopic group) and 80 cases of open myomectomy (open group) randomly from August 2009 to August 2011 were retrospectively analyzed. The operation time, intraoperative blood loss, postoperative intestinal function recovery time, postoperative ambulation time, postoperative analgesia and postoperative morbidity were analyzed. Results: There was no significant difference in the age, number of myoma, fibroids size, intraoperative blood loss and operation time between the two groups (P> 0.05). The time of ambulation, postoperative morbidity, postoperative analgesia, Functional recovery time was significantly different (P <0.05). Conclusion: Laparoscopic myomectomy is safe and feasible.