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目的评价腹腔镜手术在子宫肌瘤剔除术中的应用,并配合中药治疗预防术后复发。方法回顾分析2008年3月至2010年3月为88例浆腹下或肌壁间子宫肌瘤患者行腹腔镜下肌瘤剔除术的临床资料,患者分为术后配合中药治疗组及单纯行子宫肌瘤剔除术的病例为对照组,比较二组疗效、不良反应及复发情况。结果 88例子宫肌瘤患者均在腹腔镜下剔除肌瘤,保留子宫,观察组62例,3例复发,较对照组(5/26)显著低(P<0.05)。观察组56例恢复正常月经,与对照组(7/26)相比差异有统计学意义(P<0.05)。结论腹腔镜手术用于子宫肌瘤剔除术,术后配合中药治疗具有创伤小,恢复快,改善月经过多等症状。术后复发率低的优点。
Objective To evaluate the application of laparoscopic surgery in the myomectomy and cooperate with traditional Chinese medicine to prevent postoperative recurrence. Methods From March 2008 to March 2010, 88 cases of myoma of the uterine fibroids under the laparoscopic or submucous myomectomy were retrospectively analyzed. The patients were divided into two groups: the patients in the treatment group and the simple treatment group Myomectomy cases were control group, the two groups were compared efficacy, adverse reactions and recurrence. Results All 88 patients with uterine fibroids had fibroids removed by laparoscopy. The uterus was preserved in 62 patients in the observation group, with recurrence in 3 patients, which was significantly lower than that in the control group (5/26) (P <0.05). 56 cases of observation group returned to normal menstruation, compared with the control group (7/26), the difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery for myomectomy, with traditional Chinese medicine treatment of trauma with small, fast recovery, improve menorrhagia and other symptoms. The advantage of low postoperative recurrence rate.