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开腹与腹腔镜子宫肌瘤剔除术临床分析 被引量:8

Clinical analysis of open surgery and laparoscopic myomectomy
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摘要 目的:比较开腹手术和腹腔镜治疗子宫肌瘤的临床疗效。方法:将本院2009年1月~2011年2月收治的子宫肌瘤患者72例,根据患者知情同意的原则,随机分为对照组与观察组,每组36例,对照组给予传统的开腹手术治疗,观察组给予腹腔镜手术治疗,观察两组患者手术时间、术中出血量、肛门排气时间和住院时间等围术期情况;比较两组患者复发率以及并发症发生率等术后指标。结果:观察组的手术时间、术中出血量、肛门排气时间和住院时间均明显少于对照组(P<0.05);观察组1年复发率明显低于对照组(P<0.05),两组并发症发生率比较差异无统计学意义(P>0.05)。结论:腹腔镜下子宫肌瘤剔除术的临床效果优于传统的开腹手术,值得在临床中推广应用。 Objective: To compared the open surgery and laparoscopic treatment of uterine fibroids clinical efficacy. Methods: The hospital in January 2009 to February 2011 were treated 72 patients with uterine fibroids, according to the principle of informed consent, patients were randomly divided into control group and observation group, each group of 36 cases, the control group received traditional open abdominal surgery, open surgery given the observation group were observed in patients with operation time, blood loss, anal exhaust time and length of stay and other perioperative situations; two groups were compared the recurrence rate and complication rate of surgery after the index. Results: The operative time, blood loss, anal exhaust time and hospital stay were significantly less than the control group ( P0.05); observed 1 year recurrence rate was significantly lower than the control group ( P0.05), two groups of the incidence of complications was no significant difference (P0.05). Conclusion: Laparoscopic myomectomy clinical results superior to the traditional open surgery, is worth promoting the application in clinical.
作者 覃烨
出处 《中国当代医药》 2011年第33期28-29,共2页 China Modern Medicine
关键词 腹腔镜 开腹手术 子宫肌瘤剔除术 临床分析 Laparoscopy Open surgery Myomectomy Clinical analysis
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