腹腔镜下复杂性子宫肌瘤剔除术22例分析
Clinical analysis of laparoscopic complex myomectomy for 22 cases
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摘要: 目的:探讨腹腔镜下复杂性子宫肌瘤剔除术的可行性和手术技巧。方法:腹腔镜下行复杂性子宫肌瘤剔除术(腹腔镜组)22例,与同期行传统开腹术36例(开腹组)进行对照研究,记录手术时间、术中出血量、术后肛门排气时间、镇痛剂使用、术后病率、切口愈合、住院时间、术后随访情况。结果:腹腔镜组手术经过顺利,与开腹组比较术中出血少、术后肠功能恢复快、术后病率低及术后镇痛少、住院时间短,但手术时间延长(P0.05~P0.01)。结论:在熟练掌握腹腔镜手术操作技巧和缝合技术的前提下,行腹腔镜下复杂性子宫肌瘤剔除术是安全、可行的,具有良好的发展前景。Abstract: Objective: To investigate the feasibility and technique of laparoscopic complex myomectomy.Methods: The clinical data of 22 cases undergone laparoscopic complex myomectomy were retrospectively analyzed, and compared with the data of 36 cases undergone traditional open surgery at the same time.The operation time, intraoperative bleeding,postoperative exhausting time,analgesic using, postoperative morbidity,wound healing,postoperative hospital stays and follow-up were recorded.Results: The operation of 22 cases were successfully completed under laparoscope.Compared with the cases undergone traditional open surgery, the cases undergone laparoscopic myomectomy were less bleeding, fast recovery of intestinal function, less postoperative morbidity and pain, short hospital stays and long operation time(P0.05 toP0.01) .Conclusions: The laparoscopic complex myomectomy is safety, feasible and has good development prospect on the basis of mastering laparoscopic surgical operation and suture techniques.