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目的:评价腹腔镜子宫肌瘤切除术的临床应用价值。方法:选取行腹腔镜子宫肌瘤切除术(LM)40例,与同期经腹子宫肌瘤切除术(TAM)43例进行对照分析,对手术时间、术中出血量、术后肛门排气时间及术后住院日等进行对比。结果:LM组手术时间(96.24±36.35min),与TAM组(60.12±15.32min)比较,LM手术时间较TAM长,差异有显著性(P<0.01);术后肛门排气时间(18.62±5.61h)及术后住院日(5.54±1.80d)均较TAM组肛门排气时间(22.45±8.32h)及术后住院日(7.62±2.07d)缩短,差异有极显著性(P<0.01);LM组术中出血量(124.88±54.46ml)与TAM组(112.67±66.48ml)无显著统计学差异(P>0.05)。结论:腹腔镜子宫肌瘤切除术具有创伤小、术后恢复快等优点,是一种安全、可行的理想术式。
Objective: To evaluate the clinical value of laparoscopic myomectomy. METHODS: A total of 40 cases of laparoscopic myomectomy (LM) were compared with 43 cases of transabdominal myomectomy (TAM) at the same time. The operation time, intraoperative blood loss, postoperative anus exhaust time were selected. And postoperative hospital days were compared. Results: The operative time of LM group was 96.24±36.35 min. Compared with TAM group (60.12±15.32 min), the operative time of LM was longer than that of TAM. The difference was significant (P<0.01). Postoperative anal ventilation time was 18.62±. 5.61h) and postoperative hospital stay (5.54±1.80d) were shorter than those in TAM group (22.45±8.32h) and postoperative hospital stay (7.62±2.07d). The difference was significant (P<0.01). There was no significant difference in the amount of intraoperative blood loss (124.88±54.46ml) between the LM group and the TAM group (112.67±66.48ml) (P>0.05). Conclusion: Laparoscopic myomectomy has many advantages such as less trauma and faster postoperative recovery. It is a safe and feasible surgical procedure.