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目的比较腹腔镜子宫肌瘤剔除术(LM)与开腹子宫肌瘤剔除术(TAM)后肌瘤残留、并发症、复发的不同。方法 328例子宫肌瘤患者,根据子宫肌瘤剔除术的术式将患者分为TAM组226例和LM组102例。比较两组手术及术后一般情况、总并发症发生率、复发率。结果 LM组手术时间、术中出血量、术后肛门首次排气时间、住院时间明显少于TAM组,差异均有统计学意义(P<0.05)。LM组的总并发症发生率明显低于TAM组,差异有统计学意义(P<0.05)。LM组的复发率明显低于TAM组,差异有统计学意义(P<0.05)。结论 LM是一种术后并发症少、利于患者术后恢复的微创手术,复发率低于TAM,可见LM能一定程度的降低子宫肌瘤的复发率,值得临床推广应用。
Objective To compare the differences of residual fibroids, complications and recurrence after laparoscopic myomectomy (LM) and open myomectomy (TAM). Methods A total of 328 patients with uterine fibroids were divided into TAM group (n = 226) and LM group (n = 102) according to the operation of myomectomy. The two groups were compared in terms of operation and postoperative general conditions, the total complication rate and recurrence rate. Results The operation time, intraoperative blood loss, the first postoperative anal exhaust time and hospitalization time in LM group were significantly less than those in TAM group (P <0.05). The overall complication rate in LM group was significantly lower than that in TAM group, the difference was statistically significant (P <0.05). The recurrence rate of LM group was significantly lower than TAM group, the difference was statistically significant (P <0.05). Conclusion LM is a minimally invasive surgery with less postoperative complications and is conducive to postoperative recovery. The recurrence rate is lower than that of TAM. LM can reduce the recurrence rate of uterine fibroids to a certain extent, which is worthy of clinical application.