CAJ | 학술논문

目的：比较腹腔镜下与开腹子宫肌瘤剔除术近期临床疗效和组织损伤程度。方法：选取符合标准的患者80例，随机分为观察组和对照组各40例。观察组应用腹腔镜下子宫肌瘤剔除术，对照组应用开腹子宫肌瘤剔除术，比较二者临床疗效和血清超敏C反应蛋白（ hs-CRP ）水平。结果：观察组患者手术持续时间稍长于对照组，但是差异无统计学意义（ P＞0．05）；观察组术中出血量、术后镇痛、术后病率、下床活动时间、术后肛门排气时间及住院时间均优于对照组，差异有统计学意义（ P＜0．05）。两组手术前血清hs-CRP 水平相似，差异无统计学意义（ P＞0．05）；两组术后第1天血清hs-CRP水平较术前均升高（P＜0．05），但是观察组升高幅度较对照组小（P＜0．05）；术后第3天两组血清hs-CRP水平开始下降，术后第5天，对照组组血清hs-CRP 水平高于观察组，差异有统计学意义（ P＜0．05）。结论：腹腔镜下子宫肌瘤剔除术组织创伤小，术后恢复快，有利于妇女的身体健康。
목적：비교복강경하여개복자궁기류척제술근기림상료효화조직손상정도。방법：선취부합표준적환자80례，수궤분위관찰조화대조조각40례。관찰조응용복강경하자궁기류척제술，대조조응용개복자궁기류척제술，비교이자림상료효화혈청초민C반응단백（ hs-CRP ）수평。결과：관찰조환자수술지속시간초장우대조조，단시차이무통계학의의（ P＞0．05）；관찰조술중출혈량、술후진통、술후병솔、하상활동시간、술후항문배기시간급주원시간균우우대조조，차이유통계학의의（ P＜0．05）。량조수술전혈청hs-CRP 수평상사，차이무통계학의의（ P＞0．05）；량조술후제1천혈청hs-CRP수평교술전균승고（P＜0．05），단시관찰조승고폭도교대조조소（P＜0．05）；술후제3천량조혈청hs-CRP수평개시하강，술후제5천，대조조조혈청hs-CRP 수평고우관찰조，차이유통계학의의（ P＜0．05）。결론：복강경하자궁기류척제술조직창상소，술후회복쾌，유리우부녀적신체건강。
Objective:To compare the short-term clinical therapeutic effects and tissue damage degrees between laparoscopic myomectomy and open myomectomy .Method:80 eligible patients were selected and randomly divided into observation group and control group , 40 patients in each group .The observation group used laparoscopic myomectomy , while the control group used open myomectomy , and the clinical therapeutic effects and serum high sensitive C reaction protein ( hs-CRP ) levels in the patients of the two groups were compared.Result:The operative time of the patients in the observation group was slightly longer than that of the control group, but the difference was statistically insignificant (P>0.05); The intra-operative bleeding volume, postoperative analgesia, postoperative complication incidence , out-of-bed activity time, postopera-tive time of passage of gas by anus and length of stay in hospital of the patients in the observation group were all better than those of the control group , and the differences were statistically significant (P<0.05).The pre-operative serum hs-CRP levels of the patients of the two groups were similar , and the difference was statis-tically insignificant (P>0.05);in 1 day after the surgeries, the serum hs-CRP levels of the patients of the two groups were both increased when compared with those before the surgeries ( P<0.05) , but the increasing extent of the observation group was smaller than that of the control group ( P<0.05);in 3 days after the sur-geries, the serum hs-CRP levels of the patients of the two groups started to decrease;in 5 days after the sur-geries, the serum hs-CRP level of the patients in the control group was higher than that of the observation group, and the difference was statistically significant ( P<0.05) .Conclusion:Laparoscopic myomectomy has advantages of small tissue damage and rapid postoperative recovery , and it is benefit to women's physical health.