摘要
目的探讨悬吊法与CO2气腹法腹腔镜(以下简称气腹法腹腔镜)下子宫肌瘤切除手术的差别。方法2003年10月至2004年10月昆山市第一人民医院和上海第二医科大学附属第九人民医院对67例肌壁间子宫肌瘤病人随机分为2组,分别进行悬吊法腹腔镜下子宫肌瘤切除术(36例)和气腹法腹腔镜下子宫肌瘤切除术(31例),比较两组的手术时间、出血量、术后肠功能恢复时间和病人住院时间。结果悬吊法腹腔镜子宫肌瘤切除的平均手术时间、出血量、单个肌瘤平均切除时间、<6cm和≥6cm单个肌瘤切除的平均时间均优于气腹法腹腔镜组(P均<0.05),两组病人术后肠道功能恢复时间和住院时间比较,差异无显著性(P均>0.05)。结论悬吊法腹腔镜子宫肌瘤切除较气腹法腹腔镜手术时间短、出血少、操作简便,术后病人的恢复快且无气腹对机体的影响,是一种较好的治疗子宫肌瘤的技术。
Objective To explore the difference in uterine myomectomy between laparo-lift laparoscopy and CO_~2 pneumoperitonium laparoscopy (pneumoperitonium laparoscopy in the following). Methods In Kunshan No.1 People s Hospital and Shanghai 9~th People's Hospital from Oct. 2003 to Oct. 2004, 67 patients with uterine myoma were randomly divided into 2 groups. One group (36 cases) was given myomectomy with laparo-lift laparoscopy,the other 31 cases with pneumoperitonium laparoscopy. The operating duration, bleeding amount, postoperative intestinal recovery and hospitalization-time were compared between the 2 groups. Results The operating duration, bleeding amount, removal time of single myoma, removal time of single myoma <6cm or ≥6cm in laparo-lift laparoscopy group were significantly superior to those in pneumoperitonium laparscopy group (P<0.05 respectively).The postoperative intestinal recovery and hospitalization-time were not significantly different in 2 groups (P>0.05 respectively). Conclusion There would be a shorter operating duration, less bleeding, faster intestinal recovery in uterine myomectomy with laparo-lift laparoscopy compared with pneumoperitonium laparoscopy. Without the side-effects of pneumoperitonium, laparo-lift laparoscopy is supposed to be a convenient technique in uterine myomectomy.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2005年第6期366-368,共3页
Chinese Journal of Practical Gynecology and Obstetrics
