改良腹腔镜子宫肌瘤剔除术的临床应用研究
Clinical application of the modified laparoscopic myomectomy
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摘要: 目的:探讨改良腹腔镜子宫肌瘤剔除术的手术技巧及优势。方法:选择要求保留子宫的子宫肌瘤患者120例,随机分为观察组(A组)和对照组(B组)各60例。对照组行常规腹腔镜子宫肌瘤剔除术,观察组行改良腹腔镜子宫肌瘤剔除术;以肌瘤直径6cm为界,将观察组再次细分为A1组(<6cm)、A2组(≥6cm),对照组分为B1组(<6cm)、B2组(≥6cm),分别比较A1与B1组,A2与B2组手术时间、术中出血量以及术后发热情况等。结果:所有患者均在腹腔镜下完成手术,无一例中转开腹,术中及术后均未出现严重并发症。A1组手术时间短于B1组(P<0.05),A1组术中出血量与B1组差异无统计学意义(P>0.05),A2组手术时间和术中出血量短于和少于B2组(P<0.05);观察组与对照组术后发热情况差异无统计学意义(P>0.05)。结论:改良腹腔镜子宫肌瘤剔除术可行、安全,尤其对于较大子宫肌瘤的剔除较传统手术方法具有创伤小、手术时间短、出血少等优势。
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关键词:
- 子宫肌瘤 /
- 腹腔镜下子宫肌瘤剔除术 /
- 改良
Abstract: Objective: To explore the surgical technique and advantage of the modified laparoscopic myomectomy.Methods: One hundred patients with fibroid,who wanted to retain uterine,were randomly divided into the observation group(group A) and control group(group B)(60 cases each group).The observation group and control group were treated with the modified laparoscopic myomectomy and conventional laparoscopic myomectomy,respectively.According to the diameter of fibroid,the observation group and control group were subdivided into group A1(<6cm) & group A2(≥ 6cm),and group B1(<6cm) & group B2(≥6cm),respectively.The operative time,blood loss and postoperative fever between group A1 and B1,and between group A2 and B2 were compared.Results: All operations in all patients were completed under laparoscope,no case was treated with laparotomy,no serious complication was found during the operation and after operation.The operation time in group A1 was shorter than that in group B1(P<0.05),the difference of the intraoperative blood loss between group A1 and group B1 was not statistically significant(P>0.05).The operation time and intraoperative blood loss in group A2 less than those in group B2(P>0.05),the postoperative fever between group A2 and group B2 was not statistically significant(P>0.05).Conclusions: Compared with the traditional surgery,the modified laparoscopic myomectomy in treating fibroid is feasible,safe,less trauma,short operation time and less bleeding,especially for large uterine fibroid.-
Key words:
- uterine fibroid /
- laparoscopic myomectomy /
- improvement
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