CAJ | 학술논문

目的探讨原位肌瘤粉碎法在腹腔镜大子宫肌瘤剔除术中的应用价值.方法将行腹腔镜大子宫肌瘤剔除术患者189例按随机数字表法分为原位粉碎组(94例)和常规剔除组(95例),并对两组患者手术时间、术中出血量、术后排气时间和术后住院时间等进行比较分析.结果两组患者均顺利完成手术,无中转开腹.原位粉碎组手术时间明显短于常规剔除组[(98.20±40.70)min比(129.20±68.50)min,P＜0.05],术中出血量少于常规剔除组[(113.40±38.30)ml比(168.90±61.70)ml,P＜0.01];两组术后排气时间和术后住院时间比较,差异均无统计学意义(P＞0.05).两组各发生皮下血肿1例,无其他术中及术后并发症发生.结论在腹腔镜大子宫肌瘤剔除术中采用原位肌瘤粉碎法是安全可行的,值得推广.
목적 탐토원위기류분쇄법재복강경대자궁기류척제술중적응용개치.방법 장행복강경대자궁기류척제술환자189례안수궤수자표법분위원위분쇄조(94례)화상규척제조(95례),병대량조환자수술시간、술중출혈량、술후배기시간화술후주원시간등진행비교분석.결과 량조환자균순리완성수술,무중전개복.원위분쇄조수술시간명현단우상규척제조[(98.20±40.70)min비(129.20±68.50)min,P＜0.05],술중출혈량소우상규척제조[(113.40±38.30)ml비(168.90±61.70)ml,P＜0.01];량조술후배기시간화술후주원시간비교,차이균무통계학의의(P＞0.05).량조각발생피하혈종1례,무기타술중급술후병발증발생.결론 재복강경대자궁기류척제술중채용원위기류분쇄법시안전가행적,치득추엄.
Objective To discuss the clinical value of simultaneous morcellation in situ in laparoscopic myomectomy (LM). Methods One hundred and eighty-nine women who underwent LM for symptomatic myomas were randomly divided into in situ group(94 cases) and standard group(95 cases). The operation time, hemorrhage perioperative,exhaust time postoperative, length of hospital stay were compared.Results The operation was successful in two groups. The operation time and hemorrhage perioperative in situ group were significantly less than those in standard group [ (98.20 ± 40.70) min vs. ( 129.20 ± 68.50)min (P＜0.05) and (113.40± 38.30) ml vs. (168.90±61.70) ml (P＜0.01)]. There was no statistical difference in exhaust time postoperative, length of hospital stay between two groups (P ＞0.05). One case occurred eechymoma in two groups respectively. Conclusion The application of simultaneous morcellation in situ in LM is safe and feasible.