CAJ | 학술논문

目的：评估腹腔镜下多发性子宫肌瘤剔除术的疗效及安全性。方法将多发性子宫肌瘤50例随机分为腹腔镜组30例，行腹腔镜下多发性子宫肌瘤剔除术，术中B超监测协助定位肌壁间瘤体，防止漏挖。开腹组20例行开腹多发性子宫肌瘤剔除术。结果腹腔镜组术后平均进软食时间（28．10±3．57）h，术中出血（144．91±46．97）ml，VAS疼痛评分（2．33±0．98）。开腹组术后平均进软食时间（52．30±7．45）h，术中出血（199．76±63．21）ml，VAS疼痛评分（5．40±0．91）。两组比较差异有统计学意义（P＜0．05）。结论腹腔镜下多发性子宫肌瘤剔除术临床疗效满意，术中术后并发症少，恢复快，成为临床治疗多发性子宫肌瘤的首选方法。
목적：평고복강경하다발성자궁기류척제술적료효급안전성。방법장다발성자궁기류50례수궤분위복강경조30례，행복강경하다발성자궁기류척제술，술중B초감측협조정위기벽간류체，방지루알。개복조20례행개복다발성자궁기류척제술。결과복강경조술후평균진연식시간（28．10±3．57）h，술중출혈（144．91±46．97）ml，VAS동통평분（2．33±0．98）。개복조술후평균진연식시간（52．30±7．45）h，술중출혈（199．76±63．21）ml，VAS동통평분（5．40±0．91）。량조비교차이유통계학의의（P＜0．05）。결론복강경하다발성자궁기류척제술림상료효만의，술중술후병발증소，회복쾌，성위림상치료다발성자궁기류적수선방법。
Objective To evaluate the efficacy of laparoscopic multiple uterine fibroids rejecting operation and safety .Meth-ods 50 patients with multiple uterine fibroids were randomly divided into laparoscopy group of 30 cases,multiple lines of laparoscopic uterine flesh tumour removed ,intraoperative ultrasound monitoring muscle intramural help locate tumors ,to prevent leakage .Open group of 20 multiple uterine fibroids eliminate routine laparotomy surgery .Results Laparoscopic surgery after an average of (28.10 ±3.57) h soft diet time,intraoperative bleeding was (144.91 ±46.97)ml,VAS pain score was (2.33 ±0.98).Open operation after an average of (52.30 ±7.45)h soft diet time,intraoperative bleeding was (199.76 ±63.21)ml,VAS pain score was (5.40 ±0.91).There was significant difference between two groups (P<0.05).Conclusion Laparoscopic multiple uterine fibroids perioperative clinical cura-tive effect is satisfied ,less intraoperative complications ,rapid recovery ,become the preferred method in the clinical treatment of multiple uterine fibroids .