中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
29期
9-10
,共2页
腹腔镜%巨大大子宫肌瘤%原位旋切法%辽西地区
腹腔鏡%巨大大子宮肌瘤%原位鏇切法%遼西地區
복강경%거대대자궁기류%원위선절법%료서지구
Laparoscope%Giant hysteromyoma%In-situ rotary cutting myomectomy%West Liaoning region
目的：探讨腹腔镜下原位旋切法核除巨大子宫肌瘤的临床价值。方法回顾性分析该院2010-2013年开展的巨大子宫肌瘤腹腔镜手术45例,其中原位旋切法核除肌瘤22例(研究组),子宫肌瘤传统核除术23例(对照组),分析比较两组的子宫切口大小﹑手术时程﹑术中出血量﹑术后排气排尿时间﹑总住院时间及术后并发症。结果45例手术均顺利完成,数据显示研究组子宫切口(6.31±2.01)cm小于对照组(9.01±1.91)cm,手术时间(50.38±11.65)min短于对照组(90.56±10.78)min,术中出血量(48.65±20.43)mL少于对照组(100.7±34.21)mL,组间差异有统计学意义(P<0.05)。研究组与对照组关于术后排气时间﹑术后排尿时间和总住院时间,组间差异无统计学意义(P>0.05)。结论对于巨大子宫肌瘤,腹腔镜下原位旋切核除术可以与传统术式比肩,正在接受临床实践的进一步检验。
目的：探討腹腔鏡下原位鏇切法覈除巨大子宮肌瘤的臨床價值。方法迴顧性分析該院2010-2013年開展的巨大子宮肌瘤腹腔鏡手術45例,其中原位鏇切法覈除肌瘤22例(研究組),子宮肌瘤傳統覈除術23例(對照組),分析比較兩組的子宮切口大小﹑手術時程﹑術中齣血量﹑術後排氣排尿時間﹑總住院時間及術後併髮癥。結果45例手術均順利完成,數據顯示研究組子宮切口(6.31±2.01)cm小于對照組(9.01±1.91)cm,手術時間(50.38±11.65)min短于對照組(90.56±10.78)min,術中齣血量(48.65±20.43)mL少于對照組(100.7±34.21)mL,組間差異有統計學意義(P<0.05)。研究組與對照組關于術後排氣時間﹑術後排尿時間和總住院時間,組間差異無統計學意義(P>0.05)。結論對于巨大子宮肌瘤,腹腔鏡下原位鏇切覈除術可以與傳統術式比肩,正在接受臨床實踐的進一步檢驗。
목적：탐토복강경하원위선절법핵제거대자궁기류적림상개치。방법회고성분석해원2010-2013년개전적거대자궁기류복강경수술45례,기중원위선절법핵제기류22례(연구조),자궁기류전통핵제술23례(대조조),분석비교량조적자궁절구대소﹑수술시정﹑술중출혈량﹑술후배기배뇨시간﹑총주원시간급술후병발증。결과45례수술균순리완성,수거현시연구조자궁절구(6.31±2.01)cm소우대조조(9.01±1.91)cm,수술시간(50.38±11.65)min단우대조조(90.56±10.78)min,술중출혈량(48.65±20.43)mL소우대조조(100.7±34.21)mL,조간차이유통계학의의(P<0.05)。연구조여대조조관우술후배기시간﹑술후배뇨시간화총주원시간,조간차이무통계학의의(P>0.05)。결론대우거대자궁기류,복강경하원위선절핵제술가이여전통술식비견,정재접수림상실천적진일보검험。
Objective To explore the clinical value bout in-situ rotary cutting myomectomy of giant hysteromyoma with laparo-scope. Methods 45 cases with giant hysteromyoma underwent laparoscopic surgery in our hospital from 2010 to 2013 were ana-lyzed retrospectively. 22 cases in the research group were treated by in-situ rotary cutting myomectomy, and 23 cases in the con-trol group were treated by traditional myomectomy. The length of uterus incision, surgery duration, intraoperative blood loss, post-operative exhaust time and urination time, the total hospital stay time, and postoperative complications were compared and ana-lyzed between the two groups. Results The surgeries of the 45 cases were performed smoothly. The data showed that in the re-search group, the length of uterus incision was (6.31±2.01)cm, shorter than the control group's (9.01±1.91)cm, surgery duration was (50.38±11.65)min, shorter than the control group's (90.56±10.78)min, and intraoperative blood loss was (48.65±20.43)mL, less than the control group's (100.7±34.21)mL, the differences between the two groups were statistically significant(P<0.05). The differ-ences in postoperative exhaust time and urination time, total hospital stay time between the two groups were not statistically signifi-cant(P>0.05). Conclusion For giant hysteromyoma, in-situ rotary cutting myomectomy with laparoscope and traditional myomecto-my, they are neck and neck with each other at least. The improved procedure is undergoing further tests of clinical practice.
