中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2014年
7期
53-55,59
,共4页
腹腔镜%子宫肌瘤%腹壁小切口
腹腔鏡%子宮肌瘤%腹壁小切口
복강경%자궁기류%복벽소절구
laparoscopy%hysteromyoma%mini-incision
目的：探讨腹腔镜结合腹壁小切口子宫肌瘤剔除术（ laparoscopically assisted myomectomy， LAM）治疗子宫肌瘤的临床意义。方法选取2010~2013年金堂纺织医院收治的子宫肌瘤患者160例，LAM组80例，行腹腔镜结合腹壁小切口子宫肌瘤剔除术，采用腹腔镜子宫肌瘤剔除术（ laparoscopic myomectomy， LM）80例。观察比较两组的手术时间、术中出血量、并发症及术后恢复情况。结果平均手术时间LAM组（82.73±15.27）min少于LM组（133.43±17.56）min（P<0.05），术中平均出血量LAM组（95.10±30.16）mL少于LM组（137.37±28.95）mL（P<0.05）；两组术后3 d平均体温、术后肛门排气时间、术中严重并发症的发生率及术后住院天数比较，差异无统计学意义（ P>0.05）。结论 LAM与LM均是成熟的子宫肌瘤剔除术式，但LAM可简化缝合操作，对瘤体较大缝合较多的子宫肌瘤剔除较为有利；术中触摸可最大限度发现肌瘤，降低肌瘤复发率，更适合腹腔镜在基层医院推广。
目的：探討腹腔鏡結閤腹壁小切口子宮肌瘤剔除術（ laparoscopically assisted myomectomy， LAM）治療子宮肌瘤的臨床意義。方法選取2010~2013年金堂紡織醫院收治的子宮肌瘤患者160例，LAM組80例，行腹腔鏡結閤腹壁小切口子宮肌瘤剔除術，採用腹腔鏡子宮肌瘤剔除術（ laparoscopic myomectomy， LM）80例。觀察比較兩組的手術時間、術中齣血量、併髮癥及術後恢複情況。結果平均手術時間LAM組（82.73±15.27）min少于LM組（133.43±17.56）min（P<0.05），術中平均齣血量LAM組（95.10±30.16）mL少于LM組（137.37±28.95）mL（P<0.05）；兩組術後3 d平均體溫、術後肛門排氣時間、術中嚴重併髮癥的髮生率及術後住院天數比較，差異無統計學意義（ P>0.05）。結論 LAM與LM均是成熟的子宮肌瘤剔除術式，但LAM可簡化縫閤操作，對瘤體較大縫閤較多的子宮肌瘤剔除較為有利；術中觸摸可最大限度髮現肌瘤，降低肌瘤複髮率，更適閤腹腔鏡在基層醫院推廣。
목적：탐토복강경결합복벽소절구자궁기류척제술（ laparoscopically assisted myomectomy， LAM）치료자궁기류적림상의의。방법선취2010~2013년금당방직의원수치적자궁기류환자160례，LAM조80례，행복강경결합복벽소절구자궁기류척제술，채용복강경자궁기류척제술（ laparoscopic myomectomy， LM）80례。관찰비교량조적수술시간、술중출혈량、병발증급술후회복정황。결과평균수술시간LAM조（82.73±15.27）min소우LM조（133.43±17.56）min（P<0.05），술중평균출혈량LAM조（95.10±30.16）mL소우LM조（137.37±28.95）mL（P<0.05）；량조술후3 d평균체온、술후항문배기시간、술중엄중병발증적발생솔급술후주원천수비교，차이무통계학의의（ P>0.05）。결론 LAM여LM균시성숙적자궁기류척제술식，단LAM가간화봉합조작，대류체교대봉합교다적자궁기류척제교위유리；술중촉모가최대한도발현기류，강저기류복발솔，경괄합복강경재기층의원추엄。
Objective To investigate the efficacy of laparoscopically assisted myomectomy( LAM ) with abdominal mini-incision in the treatment of hysteromyoma. Methods 160 patients with hysteromyoma in Jintang Textile Hospital from 2010 to 2013 were randomized into LAM group and laparoscopic myomectomy( LM)group with 80 cases in each group. Patients in LAM group underwent LAM with abdominal mini-incision,while patients in LM group underwent laparoscopic myomectomy. The operation time,blood loss during operation,complications and postoperative recovery of the two groups were compared. Results The average operation time in LAM group(82. 73 ±15. 27)min was less than LM group(133. 43 ± 17. 56)min(P<0. 05). The bleeding loss during operation in LAM group(95. 10 ± 30. 16)mL was less than LM group(137. 37 ± 28. 95)mL(P <0. 05). No statistical differences were found in average temperature three days after operation,anus exhaust time,severe complications and postoperative hospital stay between two groups( P>0. 05 ). Conclusions Both LAM and LM operation are mature myomectomy operations,LAM can simplify the operation of suture,especially for the large tumors. The intra -operative touch is helpful for detection of hysteromyoma and decrease the rate of recurrence,which is suitable for utilization of laparoscopy in primary hospital.
