【摘要】 目的:探讨腹腔镜下子宫肌瘤切除术临床应用的安全性、可行性及优越性。方法:回顾性分析2004年5月~2006年3月于我院行腹腔镜下子宫肌瘤切除术42例与经腹子宫肌瘤切除术50例的临床资料,针对术中及术后恢复情况进行比较分析。结果:腹腔镜组手术时间(82.12±37.90)min,与经腹组(88.36±20.75)min比较差异无显著性(P(0.05),腹腔镜组术中出血量(75.11±42.08)ml,明显少于经腹组(99.58±35.70)ml,差异有显著性(P<0.05),且术后体温恢复正常时间(1.1±0.7)天、肛门排气时间(7.90±2.42)h及术后住院日(4.5±1.3)天均较经腹组术后体温恢复正常时间(2.8±1.3)天、肛门排气时间(36.41±10.22)h及术后住院日(7.0±2.4)天缩短,差异有极显著性(P<0.01)。结论:腹腔镜下子宫肌瘤切除术具有创伤小、术中出血少、术后恢复快及并发症发生率低等优点,是一种较为理想的微创性手术治疗方式。更多还原

【Abstract】 Objective:To investigate the clinical reliability, feasibility and superiority of laparoscopic myomectomy (LM).Methods:A retrospective and comparitive analysis on operation and postoperative recovery was carried out, including 42 LM and 50 transabdominal myomectomy (TAM).Results:The mean operating time of LM group was(82.12±37.90)min, and that of TAM group was (88.36±20.75)min (P>0.05).Significantly less operative blood loss was found in LM group (75.11±42.08)/ml, compared with that in TAM group(99.58±35.70)/ml (P<0.05).The mean time of .postoperative temperature recover: LM was (1.1±0.7)d and TAM was (2.8±1.3)d. The mean time of bowel function recover:LM was (7.90±2.42)h and TAM was (36.41±10.22)h. The mean postoperative hospital stay:LM was (4.5±1.3)d and TAM was (7.0±2.4)d (all P<0.01).Conclusion:LM has the merit of lighter trauma, less operative blood loss, earlier postoperative recovery and lower complication incidence, as a kind of minimally invasive operation which is safe, feasible and ideal.更多还原