[1]吴晓杰,刘霞.腹腔镜与开腹子宫肌壁间肌瘤剔除手术的比较[J].中国微创外科杂志,2009,09(3):199-201.
　Wu Xiaojie,Liu Xia..Comparison between Laparoscopic and Open Myomectomies for Intramural Myoma[J].Chinese Journal of Minimally Invasive Surgery,2009,09(3):199-201.
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腹腔镜与开腹子宫肌壁间肌瘤剔除手术的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年3期
页码:
199-201
栏目:
出版日期:
2009-08-01

文章信息/Info

Title:
Comparison between Laparoscopic and Open Myomectomies for Intramural Myoma
作者:
吴晓杰; 刘霞
浙江省嘉兴市妇幼保健院妇科，嘉兴314000
Author(s):
Wu Xiaojie;  Liu Xia.
Department of Gynecology, Jiaxing Maternal and Children Health Hospital, Jiaxing 314000, China
关键词:
子宫肌壁间肌瘤; 腹腔镜; 开腹
Keywords:
Intramural myoma; Laparoscopy; Open surgery
分类号:
R737.33
文献标志码:
A
摘要:
目的探讨腹腔镜在子宫肌壁间肌瘤剔除术中的临床应用价值。方法2006年1月~2007年12月对120例子宫肌壁间肌瘤按随机数字表法分组并征求患者同意后，52例行腹腔镜下子宫肌瘤剔除术（腹腔镜组），68例行开腹子宫肌瘤剔除术（开腹组），对2组手术时间、术中出血量、术后病率、并发症、住院时间、术后随访情况进行比较。结果手术时间腹腔镜组长于开腹组［（1063±549）min vs （665±73）min，t=5918，P=0000］；术中出血量腹腔镜组略少于开腹组［10～300 ml（中位数50 ml） vs 20～200 ml（中位数50 ml），Z=-1998，P=0046］；术后病率腹腔镜组显著低于开腹组［77%（4/52） vs 309%（21/68）， χ2=9608，P=0002］；并发症发生率腹腔镜组与开腹组相似［38%（2/52） vs 83%（3/36）， χ2=0000，P=1000］；住院时间腹腔镜组明显短于开腹组［（75±14）d vs （104±12）d，t=-12201，P=0000］；术后随访时间腹腔镜组与开腹组相似［（97±23）月 vs （96±18）月，t=0267，P=0790］，均无复发；腹腔镜组术后月经恢复正常率与开腹组相似［944%（17/18） vs 905%（19/21）， χ2=0000，P=1000］。结论腹腔镜下子宫肌壁间肌瘤剔除术与开腹手术相比效果无差异,术后恢复优于开腹手术，是一种理想的手术方式。
Abstract:
ObjectiveTo evaluate the value of laparoscopy in the treatment of intramural myoma.MethodsTotally 120 cases of intramural myoma were randomly divided into laparoscopy (n=52) and open groups (n=68). Clinical data, including operation time, intraoperative blood loss, rates of postoperative pyrexia and postoperative complications, length of hospital stay and followup, were compared between the two groups.ResultsCompared to the open group, the laparoscopy group had significantly longer operation time ［(1063±549）min vs (665±73) min, t=5918, P=0000］, less blood loss ［10-300 ml (median, 50 ml) vs 20-200 ml (median, 50 ml), Z=-1998, P=0046］, lower rate of postoperative pyrexia ［77% (4/52) vs 309% (21/68), χ2=9608, P=0002］, similar rate of postoperative complications ［38% (2/52) vs 83% (3/36), χ2=0000, P=1000］, shorter hospital stay ［(75±14) d vs (104±12) d, t=-12201, P=0000］, and similar length of followup ［(97±23) months vs (96±18) months, t=0267, P=0790］ and rate of normal menses ［944% (17/18) vs 905% (19/21), χ2=0000, P=1000］.ConclusionsLaparoscopy is as effective as open surgery for intramural myoma. While the laparoscopy leads to better postoperative recovery than the open surgery.

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更新日期/Last Update: 2013-08-19