CAJ | 학술논문

目的：探讨腹腔镜子宫肌瘤剥除术与开腹子宫肌瘤剥除术的临床疗效和应用价值。方法研究对象为2010年1月-2013年1月于该院行子宫肌瘤剥除术的患者84例，分为腹腔镜组和对照组，每组42例，对两组患者的术中及术后的情况进行对比研究。结果腔镜组患者的手术时间及住院费用要高于对照组（P＜0．05）；而出血量、术后病率、肛门的排气时间、离床时间、术后的住院时间均要低于对照组（P＜0．05），两组患者的复发情况差异无统计学意义（P＞0．05）。结论腹腔镜子宫肌瘤剥除术具有创伤小、出血少及恢复快等优势，是治疗子宫肌瘤较为理想的选择，但不能完全的取代开腹子宫肌瘤剥除术。
목적：탐토복강경자궁기류박제술여개복자궁기류박제술적림상료효화응용개치。방법연구대상위2010년1월-2013년1월우해원행자궁기류박제술적환자84례，분위복강경조화대조조，매조42례，대량조환자적술중급술후적정황진행대비연구。결과강경조환자적수술시간급주원비용요고우대조조（P＜0．05）；이출혈량、술후병솔、항문적배기시간、리상시간、술후적주원시간균요저우대조조（P＜0．05），량조환자적복발정황차이무통계학의의（P＞0．05）。결론복강경자궁기류박제술구유창상소、출혈소급회복쾌등우세，시치료자궁기류교위이상적선택，단불능완전적취대개복자궁기류박제술。
Objective To explore the clinical effect and application value of laparoscopic myomectomy and transabdominal myomecto-my.Methods Eighty-four patients udergoing uterine myoma surgery in Woyang People’s Hospital from January 2010 to January 2013 were assigned into laparoscopy group and control group (n=42 each).Preoperative and postoperative situations were compared and an-alyzed.Results The operation time and the hospitalization cost of laparoscopy group were higher than those of the control group (P<0.05).The amount of bleeding,postoperative morbidity,anal exhaust time,ambulation time,postoperative hospital stay of laparoscopy group were lower than those of control group (P<0.05 ).The differences in recurrence between the two groups were not statistically significant (P>0.05).Conclusions Compared with transabdominal myomectomy,the laparoscopic myomectomy has advantages of fe-wer traumas,less bleeding,more rapid recovery,which is the ideal choice for the treatment of uterine myoma,but can not completely re-place transabdominal myomectomy.