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目的观察比较开腹与腹腔镜子宫肌瘤剔除术治疗子宫肌瘤临床效果。方法选取医院收治的子宫肌瘤患者112例随机分为观察组和对照组,每组56例。观察组采用腹腔镜子宫肌瘤剔除术治疗;对照组采用传统开腹子宫肌瘤剔除术治疗,比较2组患者手术情况、术后并发症。结果观察组术中出血量少于对照组,手术时间、肛门首次排气时间、住院时间均短于对照组(P<0.01);观察组并发症发生率为8.93%,低于对照组的23.21%(P<0.05)。结论腹腔镜子宫肌瘤剔除术治疗子宫肌瘤创伤较小,术后恢复快,并发症发生率低,整体效果优于传统开腹术,值得临床推广应用。
Objective To compare the clinical efficacy of laparotomy and laparoscopic myomectomy in the treatment of uterine fibroids. Methods A total of 112 patients with uterine leiomyoma admitted to our hospital were randomly divided into observation group and control group, with 56 cases in each group. The observation group was treated by laparoscopic myomectomy. The control group was treated by traditional open myomectomy. The operative and postoperative complications were compared between the two groups. Results The bleeding volume in the observation group was less than that in the control group, and the time of operation, the time of first exflation and hospital stay in the anal group were shorter than those in the control group (P <0.01). The complication rate in the observation group was 8.93% % (P <0.05). Conclusion Laparoscopic myomectomy for the treatment of uterine fibroids less trauma, faster recovery, the incidence of complications is low, the overall effect is superior to the traditional open surgery, worthy of clinical application.