中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
30期
141-142
,共2页
腹腔镜%子宫肌瘤剔除术
腹腔鏡%子宮肌瘤剔除術
복강경%자궁기류척제술
Laparoscope%Uterine fibroids rejecting operation
目的：比较经腹子宫肌瘤剔除术(TAM)和腹腔镜子宫剔除术(LM)的临床效果和特点。方法：回顾性分析2012年1月-2014年5月在笔者所在医院行经腹或腹腔镜子宫肌瘤剔除术的98例患者临床资料，按手术形式分为TAM组和LM组，其中TAM组67例，LM组31例。对比分析两组患者的手术时间、手术中出血量、住院日期以及术后恢复情况。结果：TAM组的手术时间平均为(82.2±25.1)min，短于LM组平均时间(86.3±37.5)min，两组比较差异无统计学意义(P>0.05)；TAM组手术中出血量平均为(152.7±81.6)ml，多于LM组平均出血量(114.2±60.8)ml，两组比较差异有统计学意义(P<0.05)；TAM组术后住院时间平均为(6.3±2.2)d，长于LM组的(4.6±1.2)d，差异有统计学意义(P<0.05)；TAM组术后排气时间平均为(26.7±4.9)h，长于LM组的(17.1±2.2)h，差异有统计学意义(P<0.05)。结论：TAM适应证较为广泛，不受肌瘤部位和大小限制；LM手术出血少、术后恢复快、创伤小，具体操作中，根据患者具体情况选择手术方法。
目的：比較經腹子宮肌瘤剔除術(TAM)和腹腔鏡子宮剔除術(LM)的臨床效果和特點。方法：迴顧性分析2012年1月-2014年5月在筆者所在醫院行經腹或腹腔鏡子宮肌瘤剔除術的98例患者臨床資料，按手術形式分為TAM組和LM組，其中TAM組67例，LM組31例。對比分析兩組患者的手術時間、手術中齣血量、住院日期以及術後恢複情況。結果：TAM組的手術時間平均為(82.2±25.1)min，短于LM組平均時間(86.3±37.5)min，兩組比較差異無統計學意義(P>0.05)；TAM組手術中齣血量平均為(152.7±81.6)ml，多于LM組平均齣血量(114.2±60.8)ml，兩組比較差異有統計學意義(P<0.05)；TAM組術後住院時間平均為(6.3±2.2)d，長于LM組的(4.6±1.2)d，差異有統計學意義(P<0.05)；TAM組術後排氣時間平均為(26.7±4.9)h，長于LM組的(17.1±2.2)h，差異有統計學意義(P<0.05)。結論：TAM適應證較為廣汎，不受肌瘤部位和大小限製；LM手術齣血少、術後恢複快、創傷小，具體操作中，根據患者具體情況選擇手術方法。
목적：비교경복자궁기류척제술(TAM)화복강경자궁척제술(LM)적림상효과화특점。방법：회고성분석2012년1월-2014년5월재필자소재의원행경복혹복강경자궁기류척제술적98례환자림상자료，안수술형식분위TAM조화LM조，기중TAM조67례，LM조31례。대비분석량조환자적수술시간、수술중출혈량、주원일기이급술후회복정황。결과：TAM조적수술시간평균위(82.2±25.1)min，단우LM조평균시간(86.3±37.5)min，량조비교차이무통계학의의(P>0.05)；TAM조수술중출혈량평균위(152.7±81.6)ml，다우LM조평균출혈량(114.2±60.8)ml，량조비교차이유통계학의의(P<0.05)；TAM조술후주원시간평균위(6.3±2.2)d，장우LM조적(4.6±1.2)d，차이유통계학의의(P<0.05)；TAM조술후배기시간평균위(26.7±4.9)h，장우LM조적(17.1±2.2)h，차이유통계학의의(P<0.05)。결론：TAM괄응증교위엄범，불수기류부위화대소한제；LM수술출혈소、술후회복쾌、창상소，구체조작중，근거환자구체정황선택수술방법。
Objective:To compare the abdomen uterus myoma eliminating technique(TAM) and laparoscopic uterine strip(LM) clinical effect and characteristics.Method:The clinical data of 98 patients were retrospective analysed from January 2012 to May 2014 in our hospital or laparoscopic uterine fibroids eliminate abdominal surgery,according to the operation forms they were divided into TAM and LM group,TAM group of 67 cases,31 cases in LM group. Two groups of patients of operation time,intraoperative blood loss,hospital dates,and postoperative recovery were compared.Result:TAM group operation time averaged was (82.2±25.1)min,average time was shorter than LM group (86.3±37.5)min,there was no statistically significant difference in the two groups(P>0.05).TAM group intraoperative blood loss was average (152.7±81.6)ml,average blood loss was more than LM group (114.2±60.8)ml,differences between the two groups was statistically significant(P<0.05),TAM median postoperative hospital stay was (6.3±2.2)d,it was longer than LM group (4.6±1.2)d, differences between the two groups was statistically significant(P<0.05).Postoperative exhaust time averaged TAM group was (26.7±4.9)h,iy was longer than LM group (17.1±2.2)h,differences between the two groups was statistically significant(P<0.05).Conclusion:TAM is wider indications,without being limited by the fibroids location and size.LM is less bleeding,quick recovery,small trauma surgery,in the concrete operation,surgical methods on the basis of the condition of the patients.
