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目的:探讨悬吊式腹腔镜在子宫肌瘤剔除术中的应用。方法:对2007年1月～2008年12月郑州市第一人民医院收治60例子宫肌瘤患者,32例利用悬吊式腹腔镜进行肌瘤剔除术(研究组),28例利用气腹腹腔镜进行肌瘤剔除术(对照组)。观察手术时间、术中出血量等。结果:60例患者均完成肌瘤剔除无1例中转开腹,术中研究组出血量明显少于对照组(P<0.05);手术时间两者差异无统计学意义(P>0.01)。结论:悬吊式腹腔镜下子宫肌瘤剔除术具有微创手术的一切优点,是一种安全有效的保留器官的手术方法。
Objective: To investigate the application of hanging laparoscopy in the myomectomy. Methods: From January 2007 to December 2008, 60 cases of uterine leiomyoma were treated in First People’s Hospital of Zhengzhou City, 32 cases of myomectomy with suspension laparoscopy (study group), 28 cases of pneumoperitoneum Mirror myomectomy (control group). Observation of operation time, intraoperative blood loss and so on. Results: None of the 60 patients completed myomectomy without conversion to laparotomy. The bleeding volume in the study group was significantly less than that in the control group (P <0.05). There was no significant difference between the two groups (P> 0.01). Conclusions: Suspended laparoscopic myomectomy has all the advantages of minimally invasive surgery and is a safe and effective surgical method for organ preservation.