现代仪器与医疗
現代儀器與醫療
현대의기여의료
Modern Instrument and Medical Treatment
2014年
2期
83-85
,共3页
子宫腺肌瘤%腹腔镜%手术
子宮腺肌瘤%腹腔鏡%手術
자궁선기류%복강경%수술
adenomyosis%Laparoscopic%Surgery
目的：探讨不同子宫腺肌瘤病灶切除术对子宫腺肌症的治疗效果,旨在提高疗效，减少复发。方法：选择2009年1月至2012年6月于我医院行子宫腺肌瘤病灶切除术患者80例，按照病灶是否>6c m ,将患者分为2组，每组内患者以随机数字表法再分为腹腔镜和开腹手术2组。观察比较2种术式的手术时间、出血量、术后住院时间、子宫复旧时间。结果：瘤体最大径≤6c m的，腔镜手术组的手术时间、术中出血量明显小于开腹手术，差异具有统计学意义( P＜0.05)，2种术式的术后住院时间、术后子宫复旧时间差异无统计学意义( P>0.05)。瘤体最大径>6c m的，开腹组手术时间和术后子宫复旧时间低于腹腔镜组，2组差异有统计学意义，不同术式术中出血量、术后住院时间差异无统计学意义。结论：瘤体最大径≤6c m选择腹腔镜手术可缩短手术时间，减少出血。瘤体最大径>6c m则开腹手术效果优于腹腔镜手术，应综合考虑患者的总体状况，制定出最佳的治疗方案。
目的：探討不同子宮腺肌瘤病竈切除術對子宮腺肌癥的治療效果,旨在提高療效，減少複髮。方法：選擇2009年1月至2012年6月于我醫院行子宮腺肌瘤病竈切除術患者80例，按照病竈是否>6c m ,將患者分為2組，每組內患者以隨機數字錶法再分為腹腔鏡和開腹手術2組。觀察比較2種術式的手術時間、齣血量、術後住院時間、子宮複舊時間。結果：瘤體最大徑≤6c m的，腔鏡手術組的手術時間、術中齣血量明顯小于開腹手術，差異具有統計學意義( P＜0.05)，2種術式的術後住院時間、術後子宮複舊時間差異無統計學意義( P>0.05)。瘤體最大徑>6c m的，開腹組手術時間和術後子宮複舊時間低于腹腔鏡組，2組差異有統計學意義，不同術式術中齣血量、術後住院時間差異無統計學意義。結論：瘤體最大徑≤6c m選擇腹腔鏡手術可縮短手術時間，減少齣血。瘤體最大徑>6c m則開腹手術效果優于腹腔鏡手術，應綜閤攷慮患者的總體狀況，製定齣最佳的治療方案。
목적：탐토불동자궁선기류병조절제술대자궁선기증적치료효과,지재제고료효，감소복발。방법：선택2009년1월지2012년6월우아의원행자궁선기류병조절제술환자80례，안조병조시부>6c m ,장환자분위2조，매조내환자이수궤수자표법재분위복강경화개복수술2조。관찰비교2충술식적수술시간、출혈량、술후주원시간、자궁복구시간。결과：류체최대경≤6c m적，강경수술조적수술시간、술중출혈량명현소우개복수술，차이구유통계학의의( P＜0.05)，2충술식적술후주원시간、술후자궁복구시간차이무통계학의의( P>0.05)。류체최대경>6c m적，개복조수술시간화술후자궁복구시간저우복강경조，2조차이유통계학의의，불동술식술중출혈량、술후주원시간차이무통계학의의。결론：류체최대경≤6c m선택복강경수술가축단수술시간，감소출혈。류체최대경>6c m칙개복수술효과우우복강경수술，응종합고필환자적총체상황，제정출최가적치료방안。
Objective:To Improve the curative effect and reduce recurrence by investigate the curative effect of different lesion resection for adenomyosis. Methods: 80 patients with adenomyosis lesion resection suffered laparoscopic surgery or open surgery randomly in Yiling Hospital from 2009.1 to 2012.1 were included in our study. Observe and compare the operation time, amount of bleeding, postoperative hospital stay and uterine instauration time of two groups. Results: When maximum diameter of tumor is less than or equal to 6cm, there is signiifcant difference between blood loss and operative time (P<0.05), yet no difference between postoperative hospital stay and uterine instauration time (P>0.05). When maximum diameter of tumor is larger than 6cm, postopel stayrative hospita difference was not statistically signiifcant (P>0.05), operation time, amount of bleeding and uterine instauration time difference was statistically signiifcant (P<0.05). Conclusion: Laparoscopic surgery has a clear advantage when maximum diameter of tumor less than or equal to 6cm.Open surgery is better than laparoscopic surgery when maximum diameter of tumor larger than 6cm. We should seriously analysis the speciifc circumstances and the overall condition of patients to work out the most effective option in our actual clinic work.
