中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
873-875
,共3页
腹腔镜%开腹%子宫肌瘤剔除术%疗效
腹腔鏡%開腹%子宮肌瘤剔除術%療效
복강경%개복%자궁기류척제술%료효
laparoscope%open surgery%myomectomy%curative effect
目的 比较腹腔镜与开腹子宫肌瘤剔除术的临床疗效. 方法 对延安大学附属医院接受手术的66名子宫肌瘤患者,根据其术式分为腹腔镜组和开腹手术组,比较两组的临床疗效. 结果 腹腔镜组手术时间显著长于开腹组( t=2.365,P<0.05),而术中出血量、术后排气时间和住院天数均显著低于开腹组(t值分别为5.663、4.520、3.998,均P<0.05). 两组术后并发症发生率比较无显著性差异(χ2 =0.596,P>0.05) ,两组有生育要求的患者中术后妊娠率、流产率、足月分娩率和分娩方式比较均无统计学差异(χ2 值分别为0.007、0.255、0.018、0.111,均P>0.05). 结论 在适应症选择合适的前提下,腹腔镜子宫肌瘤剔除术优于开腹手术,值得临床推广.
目的 比較腹腔鏡與開腹子宮肌瘤剔除術的臨床療效. 方法 對延安大學附屬醫院接受手術的66名子宮肌瘤患者,根據其術式分為腹腔鏡組和開腹手術組,比較兩組的臨床療效. 結果 腹腔鏡組手術時間顯著長于開腹組( t=2.365,P<0.05),而術中齣血量、術後排氣時間和住院天數均顯著低于開腹組(t值分彆為5.663、4.520、3.998,均P<0.05). 兩組術後併髮癥髮生率比較無顯著性差異(χ2 =0.596,P>0.05) ,兩組有生育要求的患者中術後妊娠率、流產率、足月分娩率和分娩方式比較均無統計學差異(χ2 值分彆為0.007、0.255、0.018、0.111,均P>0.05). 結論 在適應癥選擇閤適的前提下,腹腔鏡子宮肌瘤剔除術優于開腹手術,值得臨床推廣.
목적 비교복강경여개복자궁기류척제술적림상료효. 방법 대연안대학부속의원접수수술적66명자궁기류환자,근거기술식분위복강경조화개복수술조,비교량조적림상료효. 결과 복강경조수술시간현저장우개복조( t=2.365,P<0.05),이술중출혈량、술후배기시간화주원천수균현저저우개복조(t치분별위5.663、4.520、3.998,균P<0.05). 량조술후병발증발생솔비교무현저성차이(χ2 =0.596,P>0.05) ,량조유생육요구적환자중술후임신솔、유산솔、족월분면솔화분면방식비교균무통계학차이(χ2 치분별위0.007、0.255、0.018、0.111,균P>0.05). 결론 재괄응증선택합괄적전제하,복강경자궁기류척제술우우개복수술,치득림상추엄.
Objective To compare the clinical curative effect of laparoscopic and abdominal myomectomy.Methods Totally 66 patients who accepted surgery in Affiliated Hospital of Yan ' an University were divided into laparoscopic myomectomy group and abdominal myomectomy group, and the clinical curative effects were compared between two groups.Results The operation duration in the laparoscopic myomectomy group was significantly longer than that in the abdominal myomectomy group (t=2.365, P<0.05), but the intraoperative blood loss, postoperative exhaust time and average length of hospital stay were significantly lower than those in the abdominal myomectomy group ( t value was 5.663, 4.520 and 3.998, respectively, all P <0.05).There was no significant difference in postoperative complications between two groups (χ2 =0.596, P>0.05).The differences in postoperative pregnancy rate, abortion rate, term delivery rate and delivery mode of patients who had fertility requirements were not significant between two groups (χ2 value was 0.007, 0.255, 0.018 and 0.111, respectively, all P>0.05).Conclusion On the premise of choosing proper indications, laparoscopic myomectomy is superior to abdominal myomectomy and is worthy of clinical promotion.
