CAJ | 학술논문

目的：探讨腹腔镜手术治疗子宫肌瘤的临床疗效，进一步指导临床。方法选取我院2011年1月至2013年12月收治入院的子宫肌瘤患者90例，按照随机自愿的原则，将患者分为两组，腹腔镜组50例和开腹组40例，观察两组的手术时间、术中出血量、肛门排气时间、住院时间以及术后并发症发生情况进行对比分析。结果腹腔镜组手术时间明显长于对照组，差异显著，具有统计学意义（P＜0.05），腹腔镜组术中出血量、肛门排气时间、住院时间明显低于对照组，差异显著，具有统计学意义（P＜0.05），且较少发生术后并发症。结论腹腔镜手术行子宫肌瘤剔除术疗效确切，具有创伤小、术中出血量少、恢复快，且并发症少等优点，值得临床推广应用。
목적：탐토복강경수술치료자궁기류적림상료효，진일보지도림상。방법선취아원2011년1월지2013년12월수치입원적자궁기류환자90례，안조수궤자원적원칙，장환자분위량조，복강경조50례화개복조40례，관찰량조적수술시간、술중출혈량、항문배기시간、주원시간이급술후병발증발생정황진행대비분석。결과복강경조수술시간명현장우대조조，차이현저，구유통계학의의（P＜0.05），복강경조술중출혈량、항문배기시간、주원시간명현저우대조조，차이현저，구유통계학의의（P＜0.05），차교소발생술후병발증。결론복강경수술행자궁기류척제술료효학절，구유창상소、술중출혈량소、회복쾌，차병발증소등우점，치득림상추엄응용。
Objective To investigate the clinical efifcacy of laparoscopic operation in the treatment of uterine ifbroids.Methods 90 patients with uterine ifbroids in our hospital from January 2011 to December 2013 were divided into two groups, 50 cases in the laparoscopic group and 40 cases in the laparotomy group. Observation, the operation time, operative blood loss, anal exhaust time, hospitalization time and the rate of postoperative complications occurrence in two groups were analyzed. Results The operation time of the laparoscopic group was signiifcantly longer than that of the control group (P<0.05), the operative blood loss, anal exhaust time, hospitalization time was signiifcantly lower than those in the control group (P<0.05), and the rate of postoperative complications was less. Conclusion The efifcacy of laparoscopic operation hysteromyomectomy is accurate, with less trauma, less bleeding, rapid recovery, and less complications, is worthy of clinical application.