腹腔镜和开腹手术在子宫肌瘤剔除术中的效果比较

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Abstract Objective To compare the clinical effect of laparoscope and open abdominal uterine fibroids elimination,and to evaluate the complications.Methods One hundred patients with uterine fibroid from March 2012 to March 2014 in our hospital were selected and conducted uterine fibroids elimination after confirmation.Patients were divided into two groups according to admission order,50 patients in observation group were treated by the laparoscope uterine fibroids elimination and 50 patients in control group were treated by the open abdominal uterine fibroids elimination.All patients were followed up for 2 years and 6 months.The hospital stay,operation time,bleeding during operation,postoperative anal exhaust time,postoperative bed activity time,pregnancy rate after operation and symptom relief rate after operation in two groups were recorded and analyzed.The complications and incidence rate of total complications of peripheral organ injury,postoperative residual tumour,menstrual cycle disorder and myoma recurrence were compared.Results The hospital stay,operation time,bleeding during operation,postoperative anal exhaust time and postoperative bed activity time in observation group were respectively(3.52±2.23)d,(57.62±12.34)min,(82.87±28.03)ml,(18.58±5.01)h,and(10.35±2.66)h, which were obvious lower than those of the control group[(7.03±2.68)d,(78.53±21.42)min,(141.12±31.63)ml,(21.36± 6.72)h,(12.88±3.75)h];pregnancy rate after operation was 84.0%,was obvious higher than that in control group(66.0%), and the differences were statistical significance(P＜0.05).The incidence rate of total complications in observation group was 2.0%,was obvious lower than that in control group(14.0%),and the difference was statistical significance(P＜0.05). Conclusion Laparoscope uterine fibroids elimination with the advantages of shorter operation time,less bleeding during operation,fast postoperative recovery and little complications,it is a safety operation.

Key words： Laparoscope Open abdominal operation Uterine fibroids elimination Complications

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JIANG Hai-zhan. Comparison the effect and complication of laparoscope and open abdominal in uterine fibroids elimination[J]. 中国当代医药, 2017, 24(1): 110-112.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I1/110

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