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目的探讨腹腔镜手术在子宫肌瘤治疗中的优越性。方法回顾性分析本院1998年1月~2004年12月74例因子宫肌瘤行腹腔镜手术的住院病人的临床资料,其中40例行腹腔镜下子宫肌瘤挖出术,12例行腹腔镜协助下子宫肌瘤挖出术,22例中转开腹行子宫肌瘤挖出术。结果3组平均手术时间相同。腹腔镜下子宫肌瘤挖出术与中转开腹行子宫肌瘤挖出术相比,切除肌瘤直径小[(5.26±0.26)cm versus(8.00±0.60)cm)],术中出血少[(68.25±11.92)m l versus(123.64±23.99)m l],肠麻痹时间[(1.55±0.08)d versus(2.07±0.12)d]、住院日[(4.55±0.30)d versus(6.86±0.57)d]和术后发热时间短[(1.30±0.24)dversus(2.14±0.18)d](P<0.05)。中转开腹行子宫肌瘤挖出术组,切除的肌瘤最大、术后住院日最长。结论腹腔镜下子宫肌瘤手术具有术中出血少,术后发热时间短,术后恢复快等优点。
Objective To investigate the advantages of laparoscopic surgery in the treatment of uterine fibroids. Methods The clinical data of 74 inpatients with hysteromyoma undergoing laparoscopic surgery from January 1998 to December 2004 in our hospital were retrospectively analyzed. Forty patients underwent laparoscopic uterine fibroids excision and 12 underwent abdominal cavity Mirror assisted uterine fibroids digging surgery, 22 cases of open laparotomy uterine fibroids excision. Results The average operation time was the same in the three groups. Laparoscopic myomectomy and uterine myomectomy laparotomy laparotomy compared to the diameter of small resection fibroids [(5.26 ± 0.26) cm versus (8.00 ± 0.60) cm versus], less bleeding during surgery [ (68.5 ± 11.92) ml versus (123.64 ± 23.99) ml], intestinal paralysis time [(1.55 ± 0.08) d versus (2.07 ± 0.12) d], length of stay [(4.55 ± 0.30) d versus (6.86 ± 0.57) d ] And shorter postoperative fever [(1.30 ± 0.24) dversus (2.14 ± 0.18) d] (P <0.05). Transfer to open line uterine fibroids excision group, the largest excision of fibroids, the longest postoperative hospital stay. Conclusions Laparoscopic myomectomy has the advantages of less intraoperative bleeding, shorter postoperative fever, faster postoperative recovery.