CAJ | 학술논문

目的：探讨腹腔镜或开腹在子宫巨大肌瘤剔除术中的应用效果。方法回顾性分析2009年1月至2013年12月我院收治的肌瘤直径≥8 cm 的经开腹子宫肌瘤剔除术患者103例（开腹组）和经腹腔镜子宫肌瘤剔除术患者122例（腔镜组）。分析比较两组患者平均手术时间、术中失血、术后恢复时间等情况。结果与开腹组比较，腹腔镜组无中转开腹和切口愈合不良的患者，且腹腔镜组术中平均失血（48.24±9.72）ml、术后平均卧床时间（12.89±2.10）h 和术后平均肛管恢复排气时间（22.46±2.21）h 等指标均小于开腹组（P <0.05）。结论由于腹腔镜切口美观、患者术后恢复快，在条件许可的医疗单位可用于子宫巨大肌瘤剔除术。
목적：탐토복강경혹개복재자궁거대기류척제술중적응용효과。방법회고성분석2009년1월지2013년12월아원수치적기류직경≥8 cm 적경개복자궁기류척제술환자103례（개복조）화경복강경자궁기류척제술환자122례（강경조）。분석비교량조환자평균수술시간、술중실혈、술후회복시간등정황。결과여개복조비교，복강경조무중전개복화절구유합불량적환자，차복강경조술중평균실혈（48.24±9.72）ml、술후평균와상시간（12.89±2.10）h 화술후평균항관회복배기시간（22.46±2.21）h 등지표균소우개복조（P <0.05）。결론유우복강경절구미관、환자술후회복쾌，재조건허가적의료단위가용우자궁거대기류척제술。
Objective To analyze the effect of laproscopy and laparotomy on gigantic hysteromyma mymectomy. Methods Clincal data of 122 cases of myomectomy by laproscopy( laproscopy group)and 103 cases by open laparotomy( laparotomy group),during the period of Jan. 2009 to Dec. 2013,were collected and analyzed. The size of hysteromyoma in all cases were all ≥ 8 cm. Results The processes of all operations were successful without any complication. The mean blood loss of the laproscopy group was (48. 24 ± 9. 72)ml,the laparotomy group was(76. 02 ± 10. 21)ml,there was significant difference between two groups( P < 0. 05). The mean time in bed and the mean recovery time of bowel function postoperative of the laproscopy group were also significantly shorter than that of the laparotomy group(P <0. 05). Conclusion Laproscopy is micro-invasive and available for cases of gigantic hysteromyoma myomectomy.