腹腔镜_____腹腔镜检查；子宫肌瘤；剔除术

腹腔镜与经腹子宫肌瘤剔除术比较

http://www.100md.com 《腹腔镜外科杂志》 2005年第6期

腹腔镜,,腹腔镜检查；子宫肌瘤；剔除术,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜下子宫肌瘤剔除术在妇科领域的应用价值。方法：回顾分析腹腔镜下子宫肌瘤剔除术56例(N1组)与经腹子宫肌瘤剔除术49例(N2组)患者的手术及术后情况。结果：N1组平均手术时间(8224±2406)min，N2组平均手术时间(60±1739)min(P<0.05);N1组术中出血(8611±4963)ml，N2组术中出血(15531±7232)ml(P<0.05)。N1组术后平均体温恢复正常时间为(129±140)d，N2组平均(276±120)d(P<0.05)；N1组术后平均住院(556±132)d，N2组(937±162)d(P<0.05)。全组无死亡病例及严重并发症发生。结论：腹腔镜下子宫肌瘤剔除术安全、有效，用于适当病例可完全取代开腹手术。

    【关键词】腹腔镜检查；子宫肌瘤；剔除术

    Laparoscopic myomectomy versus laparotomy myomectomy

    YAO Changhui,ZHANG Lifang,HUANG Mei.

    Department of Obstetrics and Gynecology,Yantai Beihai Hospital,Yantai 265701,China

    【Abstract】Objectives:To exptore the value of laparoscopic myomectomy in gynecologic field.Methods:The clinical data of the 56 patients receiving laparoscopic mymectomy(N1 group) and 49 patients(N2 group)laparotomy myomectomy were analyzed retrospectively.Results:The mean operative time and blood loss in N1 group were (8224±2406)min and(8611±4963)ml respectively,while in N2 group they were(60±1739)min and(15531±7232)ml respectively(P<0.05).The mean time of resuming normal temperature after operation was (129±140)days in N1group,and it was(276±120)days in N2 group(P<0.05).In N1 group the mean hospitalization after operation was(556±132)days,while in N2 group the it was(937±162)days(P<0.05).Conclusions: Laparoscopic myomectomy is safe and effective.It is deserved to be advocated in some propriety cases. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/03/23/95/50/50.htm

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