CAJ | 학술논문

　　目的：分析多发性子宫肌瘤腹腔镜改良剔除术与传统腹腔镜剔除术治疗子宫肌瘤的临床疗效。方法：选择本院2007年1月-2012年12月收治的多发性子宫肌瘤（4个≤肌瘤数目≤10个）患者42例，其中改良腹腔镜剔除术21例（A组），传统腹腔镜剔除术21例（B组），比较两组手术时间、术中出血量、平均术后住院时间、肌瘤遗漏率及不良反应。结果：A组手术时间、肌瘤遗漏率均显著低于B组（P<0.05）。两组术中出血量、不良反应与平均术后住院时间比较差异均无统计学意义（P>0.05）。结论：多发性子宫肌瘤，特别是直径小于2 cm的肌壁间肌瘤，术中定位困难，寻找肌瘤时间长，小肌瘤容易被遗漏，改良后的手术方法解决了肌瘤的定位难题，减少了手术时间及术中肌瘤遗漏率。
　　목적：분석다발성자궁기류복강경개량척제술여전통복강경척제술치료자궁기류적림상료효。방법：선택본원2007년1월-2012년12월수치적다발성자궁기류（4개≤기류수목≤10개）환자42례，기중개량복강경척제술21례（A조），전통복강경척제술21례（B조），비교량조수술시간、술중출혈량、평균술후주원시간、기류유루솔급불량반응。결과：A조수술시간、기류유루솔균현저저우B조（P<0.05）。량조술중출혈량、불량반응여평균술후주원시간비교차이균무통계학의의（P>0.05）。결론：다발성자궁기류，특별시직경소우2 cm적기벽간기류，술중정위곤난，심조기류시간장，소기류용역피유루，개량후적수술방법해결료기류적정위난제，감소료수술시간급술중기류유루솔。
Objective:To analyze clinical curative effect of laparoscopic surgical modified out multiple uterine fibroids and traditional laparoscopic surgical uterine fibroids in treatment of multiple uterine fibroids. Method:42 patients with multiple uterine fibroids from January 2007 to December 2012 in our hospital was selected,the number of patients with uterine fibroids was greater than or equal to 4 less than or equal to 10.,including improvement of laparoscopic surgical out 21 cases(group A),the traditional laparoscopic surgical out 21 cases(group B),the comparison between the two groups average operation time,intraoperative blood loss,postoperative hospital stay,fibroids omission rate and adverse reactions. Result:The surgery time of group A, fibroids average omission rate were significantly lower than group B(P<0.05). Two groups of intraoperative blood loss,adverse reactions and the average postoperative hospital stay difference(P>0.05). Conclusion:Multiple uterine fibroids,especially in less than 2 cm in diameter of muscle intramural myoma,intraoperative localization difficulty,long looking for fibroids,small fibroids easily by omission,modified surgical method solves the problem fibroids location,reduce operative time and intraoperative fibroids omission rate.