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目的比较子宫肌瘤患者行二氧化碳(CO_2)气腹和无气腹腹腔镜手术的临床疗效。方法选择2013年6月至2015年6月解放军第一八一中心医院收治的360例子宫肌瘤患者,按随机数字表法分为两组,每组180例,分别行CO_2气腹和无气腹腹腔镜手术。比较两组患者术中及术后情况、住院时间及总费用、术后随访情况。结果两组手术时间和术中出血量比较差异无统计学意义(P>0.05);无气腹组术后肛门排气时间(1.3±0.5)d、术后并发症8例(4.44%)、住院时间(4.2±3.4)d、住院总费用(7 143.7±512.6)元、术后短期复发率(10.56%)均少于CO_2气腹组[(2.4±0.6)d、19.44%、(6.3±1.8)d、(9 894.1±427.3)元、20.00%](P均<0.05)。结论无气腹腹腔镜具有术后恢复快、费用低、住院时间短、复发率低等优点,是子宫肌瘤手术不错的选择。
Objective To compare the clinical effects of pneumoperitoneum and pneumoperitoneum without carbon dioxide (CO_2) in patients with uterine myoma. Methods A total of 360 patients with uterine fibroids admitted from the 181st Central Hospital of People’s Liberation Army from June 2013 to June 2015 were divided into two groups according to random number table method, 180 cases in each group. The pneumoperitoneum was performed with pneumoperitoneum Laparoscopic surgery. The intraoperative and postoperative conditions, hospitalization time, total cost and postoperative follow-up were compared between the two groups. Results There was no significant difference in operative time and intraoperative blood loss between the two groups (P> 0.05). Anal insufflation time after pneumoperitoneum was 1.3 ± 0.5 days, postoperative complications were 8 cases (4.44%), (4.2 ± 3.4) d, total cost of hospitalization (7 143.7 ± 512.6) yuan and postoperative short-term recurrence rate (10.56%) were less than those in CO_2 pneumoperitoneum group (2.4 ± 0.6d, 19.44%, 6.3 ± 1.8) d, (9 894.1 ± 427.3) yuan, 20.00%] (all P <0.05). Conclusion pneumoperitoneal pneumoperitoneum has the advantages of fast recovery, low cost, short hospital stay and low recurrence rate, which is a good choice for uterine fibroid surgery.