摘要
目的探讨开腹与微创下行子宫肌瘤切除两种术式在临床应用中的优、缺点。方法回顾性分析106例子宫肌瘤切除病例,将其分为开腹与微创2组,对其术中、术后各种情况进行比较分析。结果两种术式在手术时间、术中出血量、术后肌瘤复发率、术后2年妊娠率方面差异无显著性,而术后排气时间,术后4h、24h自主疼痛评分,住院时间及1年妊娠率差异有显著性(P<0.05)。结论两种术式各有优、缺点,在严格掌握微创适应证前提下宜行微创术。
Objective To study the advantages and disadvantages of two types of hysteromyomectomy. Methods 106 cases of hysteromyomectomy were studied retrospectively and divided into two groups. 42 cases with open operation and 64 cases with microtraumatic treatment. Many parameters during and after operation were compared. Results There were no significant differences between the two types of operation in duration of operation, blood loss in operation and recurrence of hysteromyoma postoperation. However, there were significant differences in gas evacuation, patient score of pain 4 hour and 24 hour operation, time of staying and pregnancy rate one year after operation （P〈0.05）. Conclusion Both have advantages and disadvantages, however the microtraumatic treatment should be widely adopted clinically under the precondition of microtraumatic indication.
出处
《基层医学论坛》
2007年第9期784-785,共2页
The Medical Forum
关键词
开腹
微创
子宫肌瘤切除
Open operation Microtrauma Hysteromyomectomy
