CAJ | 학술논문

目的：比较腹腔镜与开腹子宫肌瘤剔除术治疗子宫肌瘤的疗效。方法将入选的90例患者随机分为腹腔镜组（ A组）与开腹治疗组（B组），然后将两组患者手术时间、肛门排气时间、出血量及手术前后的生活质量评分进行比较。结果 A组手术时间≤60分钟、肛门排气时间≤24小时及出血量≤100ml者比例均高于B组，术后1周的生活质量评分均高于 B组，P均＜0.05，两组间均有显著性差异。结论腹腔镜子宫肌瘤剔除术，具有创伤轻微、恢复时间短及出血量少等优点，有助于患者术后生存质量的尽早改善，因此值得临床推广。
목적：비교복강경여개복자궁기류척제술치료자궁기류적료효。방법장입선적90례환자수궤분위복강경조（ A조）여개복치료조（B조），연후장량조환자수술시간、항문배기시간、출혈량급수술전후적생활질량평분진행비교。결과 A조수술시간≤60분종、항문배기시간≤24소시급출혈량≤100ml자비례균고우B조，술후1주적생활질량평분균고우 B조，P균＜0.05，량조간균유현저성차이。결론복강경자궁기류척제술，구유창상경미、회복시간단급출혈량소등우점，유조우환자술후생존질량적진조개선，인차치득림상추엄。
Objective To compare the clinical efficacy between the laparoscopic and open myomectomy. Methods 90 patients were ran-domly divided into laparoscopy group (group A) and laparotomy group (group B), then the operation time,anal exsufflation time,blood loss and life quality score before and after the operation of two groups were analyzed. Results The rates of operation time ≤60min,anal exsufflation time ≤24h and blood loss ≤100ml in group A were all higher than those in group B, and the life quality score at first week after the operation in group A was higher than in group B, there were all significant differences(P<0.05). Conclusion The laparoscopic myomectomy has the advantages of less trau-ma, faster recovery and less bleeding, and it is benefit for the faster improvement of postoperative life quality.