CAJ | 학술논문

目的：比较腹腔镜与开腹筋膜内子宫切除术治疗子宫肌瘤的效果。方法选取2012年8月-2013年6月本院接诊的76例子宫肌瘤患者，将其中行腹腔镜筋膜内子宫切除术的34例患者设为观察组，其余42例行开腹筋膜内子宫切除术的患者设为对照组。观察并比较两组患者术后肛门排气时间、尿管置留时间、起床活动时间、平均住院时间以及并发症发生情况。结果观察组患者术中平均出血量少于对照组，各项指标时间均优于对照组，差异有统计学意义（P<0.05）；观察组患者并发症发生率为8.8%（3/34），对照组为31.0%（13/42），两组比较差异有统计学意义（ P<0.05）。结论采用腹腔镜筋膜内子宫切除术治疗子宫肌瘤，患者出血量少、恢复快，且护理较为简单，可有效节省护理时间，简化护理工作。
목적：비교복강경여개복근막내자궁절제술치료자궁기류적효과。방법선취2012년8월-2013년6월본원접진적76례자궁기류환자，장기중행복강경근막내자궁절제술적34례환자설위관찰조，기여42례행개복근막내자궁절제술적환자설위대조조。관찰병비교량조환자술후항문배기시간、뇨관치류시간、기상활동시간、평균주원시간이급병발증발생정황。결과관찰조환자술중평균출혈량소우대조조，각항지표시간균우우대조조，차이유통계학의의（P<0.05）；관찰조환자병발증발생솔위8.8%（3/34），대조조위31.0%（13/42），량조비교차이유통계학의의（ P<0.05）。결론채용복강경근막내자궁절제술치료자궁기류，환자출혈량소、회복쾌，차호리교위간단，가유효절성호리시간，간화호리공작。
Objective To compare the effect of laparoscopic intrafascial hysterectomy and open abdominal intrafascial hysterectomy in the treatment of uterine fibroid. Methods A total of 76 patients with uterine fibroid in our hospital were select-ed from August 2012 to June 2013. Thereinto 34 patients treated with laparoscopic intrafascial hysterectomy were served as ob-servation group, and the other 42 patients treated with open abdominal intrafascial hysterectomy were served as control group. Evacuation time post operation,catheter indwelling time,activities time,average length of hospital stay and complica-tions of the two groups were observed and compared. Results The average blood loss of observation group was less than that of control group,other index of observation group were better than those of control group,the differences were statistically signifi-cant(P<0. 05). The incidence of complications of observation group was 8. 8%(3/34),while the incidence of complica-tions of control group was 31. 0%,the difference was statistically significant(P<0. 05). Conclusion Laparoscopic intrafas-cial hysterectomy has less blood loss and faster recovery in the treatment of uterine fibroid,which nursing is relatively simple, can effectively save nursing time,simplify nursing work.