中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
7期
33-34
,共2页
子宫肌瘤%开腹手术%腹腔镜手术%可行性
子宮肌瘤%開腹手術%腹腔鏡手術%可行性
자궁기류%개복수술%복강경수술%가행성
Uterine fibroids%Laparotomy%Laparoscopic surgery%Feasibility
目的探讨腹腔镜子宫肌瘤剔除术的可行性及注意事项.方法2006年1月至2012年6月诊治子宫肌瘤患者260例随机分为腹腔镜组及开腹组各130例,腹腔镜组全麻或硬膜外麻醉十腰麻成功后实施腹腔镜子宫肌瘤剔除术,开腹手术组常规开腹进入腹腔,在肌瘤突出处切开肌层,剔除肌瘤,缝合关腹.结果腹腔镜手术患者术中出血量平均(87.12±12.34)mL、实施术后镇痛12.31%、术后病率发生6.15%、肠功能恢复时间(29.45±7.23)h、住院(3.98±1.23)d少于开腹手术患者的(120.67±16.78)mL、55.38%、22.31%、(45.59±10.56)h、(7.23±2.43)d(P<0.05),两组手术时间分别为(90.20±14.38)min及(85.73±11.45)min无显著性差异(P>0.05).结论腹腔镜手术具出血少、机体恢复快、住院时间短等优越性,值得临床推广应用.
目的探討腹腔鏡子宮肌瘤剔除術的可行性及註意事項.方法2006年1月至2012年6月診治子宮肌瘤患者260例隨機分為腹腔鏡組及開腹組各130例,腹腔鏡組全痳或硬膜外痳醉十腰痳成功後實施腹腔鏡子宮肌瘤剔除術,開腹手術組常規開腹進入腹腔,在肌瘤突齣處切開肌層,剔除肌瘤,縫閤關腹.結果腹腔鏡手術患者術中齣血量平均(87.12±12.34)mL、實施術後鎮痛12.31%、術後病率髮生6.15%、腸功能恢複時間(29.45±7.23)h、住院(3.98±1.23)d少于開腹手術患者的(120.67±16.78)mL、55.38%、22.31%、(45.59±10.56)h、(7.23±2.43)d(P<0.05),兩組手術時間分彆為(90.20±14.38)min及(85.73±11.45)min無顯著性差異(P>0.05).結論腹腔鏡手術具齣血少、機體恢複快、住院時間短等優越性,值得臨床推廣應用.
목적탐토복강경자궁기류척제술적가행성급주의사항.방법2006년1월지2012년6월진치자궁기류환자260례수궤분위복강경조급개복조각130례,복강경조전마혹경막외마취십요마성공후실시복강경자궁기류척제술,개복수술조상규개복진입복강,재기류돌출처절개기층,척제기류,봉합관복.결과복강경수술환자술중출혈량평균(87.12±12.34)mL、실시술후진통12.31%、술후병솔발생6.15%、장공능회복시간(29.45±7.23)h、주원(3.98±1.23)d소우개복수술환자적(120.67±16.78)mL、55.38%、22.31%、(45.59±10.56)h、(7.23±2.43)d(P<0.05),량조수술시간분별위(90.20±14.38)min급(85.73±11.45)min무현저성차이(P>0.05).결론복강경수술구출혈소、궤체회복쾌、주원시간단등우월성,치득림상추엄응용.
@@@@Objective To explore laparoscopic myomectomy feasibility and the matters needing attention. Methods From January 2006 to June make a diagnosis and give treatment of myoma of uterus were randomly divided into 260 cases of laparoscopic group and 130 cases of open laparotomy group of each, laparoscopic group general anesthesia or epidural anesthesia ten lumbar hemp successful implementation after laparoscopic myomectomy, conventional laparotomy surgery operation into the abdominal cavity, in myoma prominent place incision muscle layer, eliminate fibroids, suture closed abdomen. Results Laparoscopic surgery patients during the operation, the amount of bleeding average (87.12±12.34)mL, implementation postoperative analgesia 12.31%, postoperative disease rate occurred 6.15%, intestinal function recovery time (29.45±7.23)h, be in hospital (3.98±1.23) days less open surgery patients (120.67 ±16.78)mL, 55.38%, 22.31%, (45.59±10.56)h, (7.23±2.43 )days (P<0.05), two groups of operation time is respectively(90.20 ±14.38)min and (85.73 ± 11.45)min has no significant difference (P>0.05). Conclusion Laparoscopic surgery with less bleeding, the quick recovery, shorter hospitalization time and superiority, it is worth clinical application.
