CAJ | 학술논문

目的:探讨腹腔镜下子宫肌瘤剔除术和开腹子宫肌瘤剔除术在子宫肌瘤剔除术中的应用及效果.方法:回顾性分析我院2009年1月至2014年12月322例子宫肌瘤剔除术的临床资料,其中169例行腹腔镜下子宫肌瘤剔除术,153例行开腹子宫肌瘤剔除术,对其术中、术后及随访情况进行比较.结果:腹腔镜组手术时间与开腹组相比,差异无统计学意义;而术中出血量、术后排气时间、下床活动时间及住院天数,腹腔镜组比开腹组明显缩短,其差异具有显著性意义.结论:腹腔镜下子宫肌瘤剔除术具有创伤小、患者术后恢复快、住院时间短等优点,是一种安全有效的微创术式.
목적:탐토복강경하자궁기류척제술화개복자궁기류척제술재자궁기류척제술중적응용급효과.방법:회고성분석아원2009년1월지2014년12월322례자궁기류척제술적림상자료,기중169례행복강경하자궁기류척제술,153례행개복자궁기류척제술,대기술중、술후급수방정황진행비교.결과:복강경조수술시간여개복조상비,차이무통계학의의;이술중출혈량、술후배기시간、하상활동시간급주원천수,복강경조비개복조명현축단,기차이구유현저성의의.결론:복강경하자궁기류척제술구유창상소、환자술후회복쾌、주원시간단등우점,시일충안전유효적미창술식.
Objective:To evaluate the application and clinical effect of laparoscopic myomectomy and abdominal myomectomy. Methods:A retrospective analysis of 322 petients treated from January 2009 to December 2014, including 169 cases undergoing laparoscopic myomectomy and 153 cases undergoing abdominal myomectomy, was performed. The intraoperative conditions, postoperative conditions and follow-up conditions were compared between the two groups.Results:There is no difference in operation time between the two groups. However, compared with abdominal myomectomy, blood loss, anal exsufflation time, ambulation and hospitalization time of the laparoscopic group was significantly shorter, and the difference was significant.Conclusion:Laparoscopic myomectomy has the advantages of less trauma, faster recovery and shorter hospitalization time. Laparoscopic myomectomy is a safe and effective minimally invasive surgery.