【摘要】 目的对比分析腹腔镜下子宫肌瘤剔除术(laparoscopic myomectomy,LM)与经腹子宫肌瘤剔除术(trans-abdominai myomectomy,TAM)的疗效。方法回顾性分析TAM 82例患者和同期LM 75例患者的临床资料,比较两组患者术中与术后情况。结果腹腔镜组2例中转开腹。开腹组手术时间短于腹腔镜组(P<0.05);腹腔镜组术中出血量少于开腹组(P<0.05);腹腔镜组术后肛门排气时间及术后住院天数短于开腹组(P<0.05);腹腔镜组术后最高体温>37.8℃者少于开腹组(P<0.05);开腹组住院费用明显少于腹腔镜组(P<0.05);术后复发率及妊娠率两组无统计学差异(P>0.05)。结论 LM具有切口小、术中出血少、术后恢复快、住院时间短等优点,但需掌握手术适应症,尚不能完全取代开腹手术。更多还原

【Abstract】 Objective To analyze the curative effects of laparoscopic and open myomectomy. Methods The clinical data of laparoscopic myomectomy( n = 75) and abdominal myomectomy( n = 82) from January 2008 to January 2010 was analyzed retrospectively. Results Conversions to open surgery were required in 2 cases in the laparoscopic group. The operative time was shorter in the open group than in the laparoscopic group( P<0. 05). The intraoperative haemorrhage volume was less in the laparoscopic group than in the open group( P<0. 05). Shorter time in the recovery of bowel movement and hospital stay were achieved in the laparoscopic group than in the open group( P<0. 05). The persons with postoperative highest temperature >37. 8℃ were fewer in the laparoscopic group than in the open group( P = 0. 012). The hospitalization cost was significantly less in the open group than in the laparoscopic group( P <0. 05). There was no significant difference in the postoperative recurrency and pregnancy rate between the laparoscopic group and the open group( P>0. 05). Conclusion Though laparoscopic myomectomy has advantages of micro- incision,less bleeding,rapid postoperative recovery and short hospitalization,it cann ’ t completely supersede the open myomectomy.更多还原