中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
31期
21-23
,共3页
李灵燕%李留霞%张颖%刘艳霞
李靈燕%李留霞%張穎%劉豔霞
리령연%리류하%장영%류염하
腹腔镜%特殊部位子宫肌瘤%开腹手术
腹腔鏡%特殊部位子宮肌瘤%開腹手術
복강경%특수부위자궁기류%개복수술
Laparoscopic myomectomy%Privilege sited uterus myoma%Abdominal myomectomy
目的：探讨腹腔镜手术治疗特殊部位子宫肌瘤的临床应用价值。方法：比较68例腹腔镜下特殊部位子宫肌瘤剔除术（观察组）和39例腹式特殊部位子宫肌瘤剔除术（对照组）的手术时间、术中出血量、肛门排气时间、术后住院日及术后病率。结果：两组手术均获成功，术中无1例发生周围邻近器官损伤。两组手术时间、术中出血量、肛门排气时间、术后住院日及术后病率依次为：观察组（113±13.7）min、（99±11.9）mL、（33.4±6.3）h、（5.3±0.8）d、8.8%，对照组（83±7.2）min、（124±15）mL、（54±9.6）h、（7.2±0.6）d、20.5%。两组患者的手术时间、术中出血量、肛门排气时间、术后住院日及术后病率比较，差异均有统计学意义（P<0.05）。结论：腹腔镜治疗特殊部位子宫肌瘤疗效显著，具有创伤小、住院时间短、恢复快等优点，如果具有熟练的腹腔镜操作技术，腹腔镜下特殊部位子宫肌瘤剔除术安全可行。
目的：探討腹腔鏡手術治療特殊部位子宮肌瘤的臨床應用價值。方法：比較68例腹腔鏡下特殊部位子宮肌瘤剔除術（觀察組）和39例腹式特殊部位子宮肌瘤剔除術（對照組）的手術時間、術中齣血量、肛門排氣時間、術後住院日及術後病率。結果：兩組手術均穫成功，術中無1例髮生週圍鄰近器官損傷。兩組手術時間、術中齣血量、肛門排氣時間、術後住院日及術後病率依次為：觀察組（113±13.7）min、（99±11.9）mL、（33.4±6.3）h、（5.3±0.8）d、8.8%，對照組（83±7.2）min、（124±15）mL、（54±9.6）h、（7.2±0.6）d、20.5%。兩組患者的手術時間、術中齣血量、肛門排氣時間、術後住院日及術後病率比較，差異均有統計學意義（P<0.05）。結論：腹腔鏡治療特殊部位子宮肌瘤療效顯著，具有創傷小、住院時間短、恢複快等優點，如果具有熟練的腹腔鏡操作技術，腹腔鏡下特殊部位子宮肌瘤剔除術安全可行。
목적：탐토복강경수술치료특수부위자궁기류적림상응용개치。방법：비교68례복강경하특수부위자궁기류척제술（관찰조）화39례복식특수부위자궁기류척제술（대조조）적수술시간、술중출혈량、항문배기시간、술후주원일급술후병솔。결과：량조수술균획성공，술중무1례발생주위린근기관손상。량조수술시간、술중출혈량、항문배기시간、술후주원일급술후병솔의차위：관찰조（113±13.7）min、（99±11.9）mL、（33.4±6.3）h、（5.3±0.8）d、8.8%，대조조（83±7.2）min、（124±15）mL、（54±9.6）h、（7.2±0.6）d、20.5%。량조환자적수술시간、술중출혈량、항문배기시간、술후주원일급술후병솔비교，차이균유통계학의의（P<0.05）。결론：복강경치료특수부위자궁기류료효현저，구유창상소、주원시간단、회복쾌등우점，여과구유숙련적복강경조작기술，복강경하특수부위자궁기류척제술안전가행。
Objective:To investigate the feasibility of Laparoscopic myomectomy with privileged site uterus myoma. Method:A total of 107 patients with privileged site uterus myoma were divided into two groups:observer group (Laparoscopic myomectomy,68 cases)and control group(Abdominal myomectomy,39 cases). The operation duration, blood lose in operation,postoperative anal exhaust time,postoperative retention period in hospital and postoperative morbidity were observed and compared. Result:All cases were performed successfully. No injury occurred around the adjacent organs. Observer group:the operation duration(113±13.7)min,blood lose in operation(99±11.9)mL, postoperative anal exhaust time(33.4±6.3)h,postoperative retention period(5.3±0.8)d and postoperative morbidity 8.8%;control group:(83±7.2)min,(124±15)mL,(54±9.6)h,(7.3±0.6)d,20.5%. There were significant differences between operation duration,blood lose in operation,postoperative anal exhaust time,postoperative retention period in hospital and postoperative morbidity(P<0.05). Conclusion:Laparoscopic myomectomy is effective in treating privileged site uterus myoma,with less trauma,shorter hospital stay and quicker recovery. If you have skilled laparoscopic operation technique,laparoscopic myomectomy with privileged site uterus myoma is feasible and safe.
