CAJ | 학술논문

目的探讨腹腔镜子宫肌瘤剔除术的临床应用价值.方法对腹腔镜子宫肌瘤剔除术(n=62例)与开腹子宫肌瘤剔除术(n=45例)，两组患者临床特征，手术时间，术中出血量、术后体温正常例数，术后镇痛率，肠功能恢复时间和住院日期对比分析.结果两组患者年龄、肌瘤类型、肌瘤大小、手术时间差异无显著意义(P>0.05)，术中出血量，术后体温正常例数，术后镇痛率，肠功能恢复时间和住院日差异有显著性意义(P<0.05).结论腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术相比，具有创伤小，术中出血少，术后肠功能恢复快，住院日短等优点，值得推广应用.
목적탐토복강경자궁기류척제술적림상응용개치.방법대복강경자궁기류척제술(n=62례)여개복자궁기류척제술(n=45례)，량조환자림상특정，수술시간，술중출혈량、술후체온정상례수，술후진통솔，장공능회복시간화주원일기대비분석.결과량조환자년령、기류류형、기류대소、수술시간차이무현저의의(P>0.05)，술중출혈량，술후체온정상례수，술후진통솔，장공능회복시간화주원일차이유현저성의의(P<0.05).결론복강경하자궁기류척제술여개복자궁기류척제술상비，구유창상소，술중출혈소，술후장공능회복쾌，주원일단등우점，치득추엄응용.
Objective To determine the clinical value of laparoscopic myomectomy. Methods 62 patients underwent laparoscopic myomectomy and 45 patients underwent abdominal myomectomy were studied. The two group’s operation time, blood loss, post-operation temperature, rate of postoperative fever, gastrointestinal function recovery and lenth of stay were compared. Results The age of patients, the type of myoma the size of myoma and the operation time in the two groups were not significantly different. But the blood loss, post-operation temperature, rate of postoperative fever, the time of gastrointestinal recover y and lenth of stay were significantly different in the two groups. Conclusion Compared with abdominal myomectomy; myomectomy by under laparoscope has less injury to the tissue, less blood loss and quicken recovery of gastroint estinal function, short time of stay. The laparoscopic myomectomy is good for apptication.