中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
12期
47-49
,共3页
陈峥峥%赵卫东%万安%沈国栋%王晓丽%张爱君%胡卫平%孙芳林
陳崢崢%趙衛東%萬安%瀋國棟%王曉麗%張愛君%鬍衛平%孫芳林
진쟁쟁%조위동%만안%침국동%왕효려%장애군%호위평%손방림
腹腔镜%子宫肌瘤剔除术%子宫平滑肌瘤
腹腔鏡%子宮肌瘤剔除術%子宮平滑肌瘤
복강경%자궁기류척제술%자궁평활기류
Laparoscopy%Myomectomy%Uterine fibroids
目的:探讨腹腔镜下袋式子宫肌瘤切除治疗多发性子宫肌瘤的临床效果及可行性。方法腹腔镜组为54例多发性子宫肌瘤患者行腹腔镜袋式子宫肌瘤切除术,对照组为54例患者行经腹多发性子宫肌瘤切除,观察两组手术时间、术中出血量、术后排气时间、术后住院天数等情况。结果所有病例手术均获成功,无一例中转开腹,无手术并发症发生。腹腔镜组平均手术时间(118.35±2.98)min,术中出血(96.06±1.86)mL,术后排气时间(22.13±0.53)h ,术后住院天数(4.17±0.15)d。腹腔镜组术中出血少、术后肠功能恢复快、住院天数短,与开腹组比较差异有统计学意义(P<0.05)。结论腹腔镜下袋式子宫肌瘤切除术是安全、可行的,扩大了腹腔镜子宫肌瘤切除术的手术指征。
目的:探討腹腔鏡下袋式子宮肌瘤切除治療多髮性子宮肌瘤的臨床效果及可行性。方法腹腔鏡組為54例多髮性子宮肌瘤患者行腹腔鏡袋式子宮肌瘤切除術,對照組為54例患者行經腹多髮性子宮肌瘤切除,觀察兩組手術時間、術中齣血量、術後排氣時間、術後住院天數等情況。結果所有病例手術均穫成功,無一例中轉開腹,無手術併髮癥髮生。腹腔鏡組平均手術時間(118.35±2.98)min,術中齣血(96.06±1.86)mL,術後排氣時間(22.13±0.53)h ,術後住院天數(4.17±0.15)d。腹腔鏡組術中齣血少、術後腸功能恢複快、住院天數短,與開腹組比較差異有統計學意義(P<0.05)。結論腹腔鏡下袋式子宮肌瘤切除術是安全、可行的,擴大瞭腹腔鏡子宮肌瘤切除術的手術指徵。
목적:탐토복강경하대식자궁기류절제치료다발성자궁기류적림상효과급가행성。방법복강경조위54례다발성자궁기류환자행복강경대식자궁기류절제술,대조조위54례환자행경복다발성자궁기류절제,관찰량조수술시간、술중출혈량、술후배기시간、술후주원천수등정황。결과소유병례수술균획성공,무일례중전개복,무수술병발증발생。복강경조평균수술시간(118.35±2.98)min,술중출혈(96.06±1.86)mL,술후배기시간(22.13±0.53)h ,술후주원천수(4.17±0.15)d。복강경조술중출혈소、술후장공능회복쾌、주원천수단,여개복조비교차이유통계학의의(P<0.05)。결론복강경하대식자궁기류절제술시안전、가행적,확대료복강경자궁기류절제술적수술지정。
Objective To investigate the feasibility of laparoscopic bag hysteromyoma resection. Methods Fifty-four patients with multiple uterine myomas undergoing laparoscopic myomectomy were analyzed. The patients were divided into two groups according to the surgical pathway, LM (1aparoscopic myomectomy) group and OM(open myomectomy) group. The clinical features such as the average operating time, blood loss, postoperative exhaust time and average time of hospital stay were compared among the two groups. Results All cases were performed successfully laparoscopically. No intra-operative laparotomy or complications occurred. The average operating time were (118.35±2.98)min and blood loss were (96.06±1.86)mL. The postoperative exhaust time and aver-age time of hospital stay was (22.13±0.53)min and (4.17±0.15)d. The blood loss, postoperative exhaust time and average time of hospital stay in LM group were significantly less than those in OM group (P<0.05). Conclusions Laparoscopic bag hysteromyoma resection can be performed and the operation indication is enlarged.