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腹腔镜下子宫肌瘤挖出术46例临床效果分析

Clinical effect analysis on laparoscopic myomectomy in 46 cases

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【作者】 刘常利蒋兴伟

【Author】 LIU Chang-li,JIANG Xing-wei(1.Department of Gynecology and Obstetrics,First People’s Hospital of Nan’an District,Chongqing 400061,China;2.Department of Gynecology and Obstetrics,Second Affiliated Hospital,Chongqing Medical University,Chongqing 400010,China)

【机构】 重庆南岸区第一人民医院妇产科重庆医科大学附属第二医院妇产科

【摘要】 目的:探讨腹腔镜下子宫肌瘤挖出术的临床效果和适应证。方法:收集46例腹腔镜下子宫肌瘤挖出术患者(腹腔镜组)和经腹子宫肌瘤挖出术患者55例(开腹组)资料进行回顾性分析,比较患者术中和术后情况。结果:腹腔镜组术后出血明显少于开腹组[(73.2±25.1)ml vs(88.3±16.8)ml],住院时间[(4.8±0.7)天vs(6.1±1.4)天],术后肛门排气时间[(18.3±5.5)h vs(33.2±6.9)h]均短于开腹组,两组比较差异有统计学意义(P<0.05)。结论:腹腔镜子宫肌瘤挖出术作为一种微创手术,与开腹组对比有明显优势,是一种安全有效的治疗方法。

【Abstract】 Objective:To discuss the clinical effect and the indications of laparoscopic myomectomy.Methods:The retrospective study was carried out in 46 patients undergoing laparoscopic myomectomy(laparoscopic group,n=46)and 53 patients undergoing transab-dominal myomectomy(open group,n=55).The intra and post operative conditions were compared.Rusults:There was no siginificant differ-ence in patients characters between two groups.The intraoperation blood loss in the laparoscopic group was(73.2±25.1ml)less than that in the open group[(88.3±16.8)ml],hospitalization time were[(4.8±0.7)d] less than that in the open group[(6.1±1.4)d],anus exhaust time[(0.7± 0.5)d]was less than that in the open group [(1.8±0.8)d],and the difference was significant.Conclusion:Laparoscopic myomectomy as mini-mally invasive,surgery is a safe and effective operation.

【关键词】 腹腔镜肌瘤挖出术经腹
【Key words】 LaparoscopicMyomectomyTransabdominal
  • 【文献出处】 现代医药卫生 ,Modern Medicine & Health , 编辑部邮箱 ,2010年07期
  • 【分类号】R737.33
  • 【被引频次】1
  • 【下载频次】20
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