腹腔镜手术与开腹手术治疗子宫肌瘤的临床对比分析

目的:探索腹腔镜手术与开腹手术治疗子宫肌瘤的临床疗效比较。方法:子宫肌瘤患者100例进行随机分组:开腹组50例,应用传统的开腹切除术治疗;腹腔镜组50例应用腹腔镜子宫肌瘤切除术治疗。术后对两组临床疗效、手术时间、术中出血量、排气时间、住院时间及术后并发症发生率进行分析比较。结果:两组患者的平均手术时间基本相同无明显差异(P>0.05),但在术中出血量、住院时间、下床活动时间及术后肛门排气时间方面比较,腹腔镜组明显短于开腹组,两组比较差异具有统计学意义(P<0.05)。结论:对子宫肌瘤患者进行手术治疗采用腹腔镜下子宫肌瘤剔除术具有术后恢复快,出血量小,创伤小,患者的疼痛小,并发症少等优势。

Clinical comparative analysis of laparoscopic surgery and open surgery for uterine fibroids

Objective：To explore and compare the clinical efficacy of laparoscopic surgery and open surgery for uterine fi-broids. Methods：100 patients with uterine fibroids were randomly divided into laparotomy group （n=50） and laparoscopic group （n=50）. The patients of the two groups were not different in age, causes, and tumor size. Postoperative clinical efficacy, operation time, blood loss, exhaust time, hospital stay and postoperative complication rates of the two groups were analyzed and compared. Results：The mean operation time had no significant difference for the two groups （P〉0. 05）, but the blood loss, hospital stay, and postopera-tive ambulation and flatus timing of observation group were significantly shorter than those of control group, and the differences were statistically significant （P〈0. 05）. Conclusions：The treatment of patients with uterine fibroids using laparoscopic myomectomy has the rapid postoperative recovery, a small amount of bleeding and trauma, less patient＇s pain, fewer complications, and a significant effect.