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【目的】比较腹腔镜手术与开腹手术治疗不同妇科疾病的围手术期情况。【方法】收集因子宫肌瘤、输卵管妊娠、卵巢非恶性肿瘤接受手术治疗的患者234例。根据患者的个体差异选择开腹法113例和腹腔镜法121例,比较两种手术的围手术期情况,分析不同因素对于腹腔镜手术的影响。【结果】子宫肌瘤和输卵管妊娠患者中,腹腔镜组手术时间明显大于开腹组,术中出血量、肠道排气时间、术后住院天数均显著低于开腹组,差异均有统计学意义(P <0.05)。而在卵巢非恶性肿瘤患者中,腹腔镜组手术时间、术中出血量、肠道排气时间、术后住院天数均低于开腹组,差异均有统计学意义(P <0.05)。【结论】妇科腹腔镜手术在子宫肌瘤、输卵管妊娠、卵巢非恶性肿瘤的治疗有优越性,临床值得推广。“,”[Objective]To explore the significance of laparoscopic surgery for the treatment of various gyneco-logical diseases.[Methods]A total of 234 women underwent surgery for uterine fibroids,ectopic pregnancy or o-varian non-malignancy.Based upon surgical approaches,they were divided into open (n =1 13)and laparoscopic (n =121)groups.Perioperative profiles and surgical outcomes were compared.[Results]For uterine fibroids, laparoscopic operative duration was significantly greater in open group than that in laparotomy group.And the differences were statistically significant (P<0.05);blood loss,intestinal exhaust time,postoperative hospital stay were lower than that in laparotomy group.The differences were statistically significant (P < 0.05 ).For tubal pregnancy,laparoscopic operative duration was significantly greater in open group than that in laparotomy group. The differences were statistically significant (P <0.05);blood loss,intestinal exhaust time,postoperative hospi-tal stay and postoperative maximum temperature were lower in laparotomy group.And the differences were statis-tically significant (P <0.05).For ovarian cancer,non-laparoscopic operative duration,blood loss,intestinal ex-haust time,postoperative hospital stay was lower than those in laparotomy group.And the differences were statis-tically significant (P <0.05).[Conclusion]Laparoscopic surgery offers multiple advantages for uterine fibroids, ectopic pregnancy and ovarian cancer.