摘要
目的探讨腹腔镜下大径线子宫肌壁间肌瘤剔除术的可行性与安全性。方法将我院56例行大径线子宫肌瘤剔除术的患者分成腹腔镜组(LM组)30例和开腹组(TAM组)26例,腹腔镜组采用连续锁扣"双层"缝合术,开腹组采用连续缝合术,对手术时间、术中出血量、术后胃肠功能恢复时间、术后病率、住院时间进行比较。结果手术时间腹腔镜组长于开腹组,术中出血量、术后病率、术后胃肠功能恢复时间、住院时间腹腔镜组均少于开腹组,差异有统计学意义(P<0.05)。结论腹腔镜下大经线子宫肌壁间肌瘤剔除术是安全可行的,提高腹腔镜操作技巧是手术成功的关键。
Objective To explore the feasibility and safety of laparoscopic myomectomy（LM）on large intramural myoma.Methods 56 women of whom suffered from large single intramural myoma were divided into two groups.Group LM included 30 cases who were treated by laparoscopy myomectomy.Group TAM included 26 cases who were treated by transabdominal myomectomy during the same period in our hospital.Used the continuous ＂double＂ locking suturing technique in group LM,while the continuous suturing technique in group TAM,The operating time,blood loss,postoperative gastrointestinal function recovery time,postoperative morbidity rate and hospital stay were compared between the groups.Results When group LM was compared with group TAM,it had significantly longer operation time,lower blood loss and postoperative morbidity rate,shorter hospital stay and shorter recovery time of bowel function than the later（P 0.05）.Conclusion Laparoscopic myomectomy for large intramural myoma resection is safe and feasible,the key is to improve the operation skills.
出处
《中国医药导报》
CAS
2012年第17期82-84,共3页
China Medical Herald
