CAJ | 학술논문

目的：：探讨腹腔镜子宫切除治疗子宫肌瘤的临床价值与可行性。方法：选取2012年6月至2014年5月我院收治的子宫肌瘤患者100例进行分析，作为研究对象，其中腹腔镜子宫切除术的有60例，而接受开腹子宫肌瘤切除术的有40例。研究中比较两组患者在手术时间、并发症、出血量、术后镇痛药物使用率、排气时间、住院时间以及康复程度等。结果：腹腔镜组的平均手术时间高于开腹组；腹腔镜组患者术后出血量、术后镇痛药物使用率、腰腹疼痛率、术后排气、下床活动、体温恢复以及住院时间等均小于开腹组。两组比较具有统计学意义（P<0．05），差异显著。结论：使用腹腔镜子宫切除手术治疗子宫肌瘤是一种有效的临床治疗方法，值得推广应用。
목적：：탐토복강경자궁절제치료자궁기류적림상개치여가행성。방법：선취2012년6월지2014년5월아원수치적자궁기류환자100례진행분석，작위연구대상，기중복강경자궁절제술적유60례，이접수개복자궁기류절제술적유40례。연구중비교량조환자재수술시간、병발증、출혈량、술후진통약물사용솔、배기시간、주원시간이급강복정도등。결과：복강경조적평균수술시간고우개복조；복강경조환자술후출혈량、술후진통약물사용솔、요복동통솔、술후배기、하상활동、체온회복이급주원시간등균소우개복조。량조비교구유통계학의의（P<0．05），차이현저。결론：사용복강경자궁절제수술치료자궁기류시일충유효적림상치료방법，치득추엄응용。
Objective: To investigate the clinical value and feasibility oflaparoscopic hysterectomy in the treatment of uterine fibroids. Methods: from 2012 June to 2014 May in our hospital 100 cases of patients withuterine leiomyoma were analyzed, as the research ob-ject, the laparoscopichysterectomy in 60 cases, and received laparotomy myomectomy in 40 cases. In the study were compared between the two groups in operationtime, complications, bleeding volume, postoperative analgesia drug userate, exhaust time, hospitalization time and the degree of recovery etc..Results: the average operation time of laparoscopic group was higher than that of the open group; the laparoscopic group of patients withpostoperative bleeding, postoperative analgesia drug use rate, pain in the waist and abdomen rate, postoperative exhaust ambulation, recovery of body temperature and the length of hospital stay was less than laparotomy group. The two groups were statistically significant difference (P<0.05).Conclusion: the use of laparoscopic hysterectomy operation in the treatment of uterine fibroids is an effective clinical treatment, worthy ofpromotion and application.