CAJ | 학술논문

目的：对腹腔镜下子宫肌瘤剔除术与经腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果比较的探讨。方法：对在我院接受治疗的患有子宫肌瘤的60例患者进行分组，分为A组和B组，每组30例。 A组使用腹腔镜下子宫瘤剔除术进行治疗，B组使用经腹子宫瘤剔除术进行治疗，比较两组在治疗后的的临床疗效。结果：经结果疗效分析，A组术中出血量、术后肛门排气时间、术后住院时间都优于B组，统计学上有意义（ P＜0．05）。 B组并发症的总发生率13．33％明显高于A组总发生率6．67％，有统计学意义（ P＜0．05）。结论：腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤疗效较好，具有出血量少、住院时间短及并发症较少等优点，值得临床推广。
목적：대복강경하자궁기류척제술여경복자궁기류척제술치료자궁기류적림상효과비교적탐토。방법：대재아원접수치료적환유자궁기류적60례환자진행분조，분위A조화B조，매조30례。 A조사용복강경하자궁류척제술진행치료，B조사용경복자궁류척제술진행치료，비교량조재치료후적적림상료효。결과：경결과료효분석，A조술중출혈량、술후항문배기시간、술후주원시간도우우B조，통계학상유의의（ P＜0．05）。 B조병발증적총발생솔13．33％명현고우A조총발생솔6．67％，유통계학의의（ P＜0．05）。결론：복강경하자궁기류척제술치료자궁기류료효교호，구유출혈량소、주원시간단급병발증교소등우점，치득림상추엄。
Objective: To discuss the clinical efficay of hysteromyomectomy under laparoscope and transabdominal for the treatment of uterine leiomyoma .Method:60 cases of uterine leiomyoma patients trea-ted in our hospital were divided into group A and group B ,30 cases in each group .Group A was treated with hysteromyomectomy under laparoscope , group B was treated with transabdominal hysteromyomectomy , the clinical efficacy of two groups were compared .Result: After analyzing the clinical efficacy , the amount of bleeding ,the time of anus exhaust and hospital time after surgery of group A were better than group B ,There's statistical significance(P<0.05).The total incidence of complications of group B (13.33%) was better than group A ( 6.67%) ,There's statistical significance ( P<0.05) .Conclusion:The efficacy of hysteromyo-mectomy under laparoscop in the treatment of uterine leiomyoma is good ,with the advantages of less amount of bleeding ,short hospital time and less complications ,it should be promoted in clinic .