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目的:比较腹腔镜子宫肌瘤剔除术与开腹剔除术治疗妇科子宫肌瘤的临床疗效。方法:2009年12月～2010年6月收治的60例子宫肌瘤患者中行腹腔镜子宫肌瘤剔除术者28例,行开腹剔除术32例,比较两组的手术时间、术中出血量、术后排气时间、疼痛程度、术后并发症及住院时间。结果:腹腔镜组无中转开腹者,手术时间长于开腹组,但差异无统计学意义(P>0.05);术中出血量、术后排气时间、疼痛程度、术后并发症及住院时间均显著优于开腹组(P<0.05)。结论:腹腔镜子宫肌瘤剔除术具有创伤小、住院时间短、并发症少、恢复快等优点,较为安全可靠,值得临床推广。
Objective: To compare the clinical efficacy of laparoscopic myomectomy and laparotomy in the treatment of gynecologic uterine fibroids. Methods: From December 2009 to June 2010, 60 patients with uterine fibroids underwent laparoscopic myomectomy in 28 patients underwent open excision in 32 patients. The operative time, the amount of intraoperative blood loss , Postoperative exhaust time, degree of pain, postoperative complications and hospital stay. Results: In the laparoscopic group, there was no transit laparotomy and the operation time was longer than that in the laparotomy group, but the difference was not statistically significant (P> 0.05); the intraoperative blood loss, postoperative exhaust time, pain degree, postoperative complications and hospitalization Time were significantly better than the open group (P <0.05). Conclusions: Laparoscopic myomectomy has the advantages of less trauma, shorter hospital stay, fewer complications and faster recovery, which is safe and reliable and worthy of clinical promotion.