CAJ | 학술논문

目的探讨腹腔镜下子宫肌瘤剔除术的临床应用价值.方法回顾分析我院2003年10月至2007年5月腹腔镜子宫肌瘤剔除98例(腹腔镜组)和开腹子宫肌瘤剔除76例(开腹组)的临床资料,对手术时间、术中出血量、术后肛门排气时间、术后体温恢复时间和术后住院时间进行分析.结果两组的平均手术时间无明显差异(P＞0.05).腹腔镜组术中出血量、术后肛门排气时间、术后体温恢复时间和术后住院时间均明显低于开腹组,差异均有统计学意义(均P＜0.05).结论腹腔镜下子宫肌瘤剔除术具有创伤小、术中出血少、术后恢复快、住院时间短和术后并发症少等优点,是目前较为理想的治疗子宫肌瘤的方法.
목적 탐토복강경하자궁기류척제술적림상응용개치.방법 회고분석아원2003년10월지2007년5월복강경자궁기류척제98례(복강경조)화개복자궁기류척제76례(개복조)적림상자료,대수술시간、술중출혈량、술후항문배기시간、술후체온회복시간화술후주원시간진행분석.결과 량조적평균수술시간무명현차이(P＞0.05).복강경조술중출혈량、술후항문배기시간、술후체온회복시간화술후주원시간균명현저우개복조,차이균유통계학의의(균P＜0.05).결론 복강경하자궁기류척제술구유창상소、술중출혈소、술후회복쾌、주원시간단화술후병발증소등우점,시목전교위이상적치료자궁기류적방법.
Objective To investigate the clinical value of laparoscopic hysteromyomectomy.Methods The clinical data of 98 cases of laparoscopic hysteromyomectomy(LM)and 76 cases of transabdominal Myomectomy(TAM)were retrospectively analyzed and comparison was made on the operative time,operative blood loss,postoperative blind enema time,body temperature recovery time,the rate of postoperative complicating disease and hospitalization after operation.Result Though the mean opertative time is the same,the mean operative blood loss,the mean body temperature recovery time,postoperative blind enema time,and the mean hospitalization was smaller in LM group than in TAM group(P＜0.05).Conclusion Laparoscopic hysteromyomectomy has the advantage of minimal invasion,short in-hospital days,fast recovery and low complication rate,which is an ideal treatment of hysteromyoma.