中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
9期
52-53
,共2页
子宫肌瘤剔除术%阴式%开腹%腹腔镜
子宮肌瘤剔除術%陰式%開腹%腹腔鏡
자궁기류척제술%음식%개복%복강경
Myomectomy%Vaginal%Abdominal%Laparoscopic
目的 比较研究阴式、腹式及腹腔镜子宫肌瘤剔除术的临床效果.方法 选取2010年4月至2012年9月拟在临汾市第四人民医院进行子宫肌瘤剔除术患者141例,根据术式分为阴式组、开腹组及腹腔镜组,分别进行阴式、开腹及腹腔镜子宫肌瘤剔除手术,术后比较治疗效果.结果 腹腔镜组与阴式组间手术时间,术中出血量,住院时间及肛门排气时间比较差异均无统计学意义(P>0.05),但均高于开腹组(P<0.05).在切口感染、盆腔粘连、发热及肠梗阻发生率方面,阴式组分别为0、2.8%、8.6%及2.8%,开腹组分别为2.2%、6.7%、13.3%及6.7%;腹腔镜组分别为0%、0%、0%及0%.开腹组各并发症发生率显著性高于阴式组和腹腔镜组(P<0.05).结论 阴式及腹腔镜子宫肌瘤剔除手术临床效果优于传统开腹手术,在临床上具有广阔应用前景.
目的 比較研究陰式、腹式及腹腔鏡子宮肌瘤剔除術的臨床效果.方法 選取2010年4月至2012年9月擬在臨汾市第四人民醫院進行子宮肌瘤剔除術患者141例,根據術式分為陰式組、開腹組及腹腔鏡組,分彆進行陰式、開腹及腹腔鏡子宮肌瘤剔除手術,術後比較治療效果.結果 腹腔鏡組與陰式組間手術時間,術中齣血量,住院時間及肛門排氣時間比較差異均無統計學意義(P>0.05),但均高于開腹組(P<0.05).在切口感染、盆腔粘連、髮熱及腸梗阻髮生率方麵,陰式組分彆為0、2.8%、8.6%及2.8%,開腹組分彆為2.2%、6.7%、13.3%及6.7%;腹腔鏡組分彆為0%、0%、0%及0%.開腹組各併髮癥髮生率顯著性高于陰式組和腹腔鏡組(P<0.05).結論 陰式及腹腔鏡子宮肌瘤剔除手術臨床效果優于傳統開腹手術,在臨床上具有廣闊應用前景.
목적 비교연구음식、복식급복강경자궁기류척제술적림상효과.방법 선취2010년4월지2012년9월의재림분시제사인민의원진행자궁기류척제술환자141례,근거술식분위음식조、개복조급복강경조,분별진행음식、개복급복강경자궁기류척제수술,술후비교치료효과.결과 복강경조여음식조간수술시간,술중출혈량,주원시간급항문배기시간비교차이균무통계학의의(P>0.05),단균고우개복조(P<0.05).재절구감염、분강점련、발열급장경조발생솔방면,음식조분별위0、2.8%、8.6%급2.8%,개복조분별위2.2%、6.7%、13.3%급6.7%;복강경조분별위0%、0%、0%급0%.개복조각병발증발생솔현저성고우음식조화복강경조(P<0.05).결론 음식급복강경자궁기류척제수술림상효과우우전통개복수술,재림상상구유엄활응용전경.
Objective To compare the clinical effectiveness of vaginal myomectomy,abdominal myomectomy and laparoscopic myomectomy.Methods One hundred and forty-one patients with uterine fibroids in the fourth pe ople' s hospital of Linfen from April 2010 to September 2012 were collected and divided into vaginal myomectomy group which received vaginal myomectomy,abdominal myomectomy group which received abdominal myomectomy and laparoscopic myomectomy group which received laparoscopic myomectomy.The clinical effects were observed.Results The operative time,blood loss,hospital stay and flatus of the three groups had no significant difference (P > 0.05).The incidence rate of wound infection,pelvic adhesions,fever and intestinal obstruction of abdominal myomectomy group were significantly higher than those of vaginal myomectomy group and laparoscopic myomectomy group (P < 0.05).Conclusions The clinical effectiveness of vaginal myomectomy group and laparoscopic myomectomy are better than vaginal myomectomy.