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目的探讨腹腔镜下套圈法行外突型子宫肌壁间肌瘤剔除术的手术方法、安全性和有效性。方法将准备在腹腔镜下行外突型子宫肌壁间肌瘤剔除术的患者随机分为2组:A组56例采用套圈法,B组49例采用缝合法(常规切开缝合),比较手术成功率、手术时间、术中出血量、术后病率。结果套圈法与缝合法相比,手术时间短、术中出血少、术后病率发生率低(P<0.01或0.005),2组手术成功率无显著性差异(P>0.05)。结论套圈法是一种操作简便、安全、有效的手术方法,值得推广。
Objective To investigate the surgical method, safety and effectiveness of laparoscopic ring-for-myotomy myomectomy. Methods The patients scheduled for laparoscopic ablation of uterine myomectomy were randomly divided into two groups: 56 cases in group A received loop method, 49 cases in group B received suture method (conventional incision suture) Surgical success rate, operation time, intraoperative blood loss, postoperative morbidity. Results Compared with the suture method, the method of stitching showed less operation time, less intraoperative bleeding and less postoperative morbidity (P <0.01 or 0.005). There was no significant difference in operative success rate between the two groups (P> 0.05). Conclusion Rings method is a simple, safe and effective surgical method that deserves promotion.