| 引用本文： |
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陈科伟,李怀芳,樊伯珍.悬吊式与传统腹腔镜子宫肌瘤剥除术的疗效对比[J].同济大学学报（医学版）,2013,34(3):77-80. [点击复制]
- CHEN Ke-wei,LI Huai-fang,FAN Bo-zhen.Comparison of therapeutic efficacy between gasless and conventional laparoscopy in myomectomy[J].同济大学学报（医学版）,2013,34(3):77-80. [点击复制]
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| 摘要: |
| 目的对比悬吊式与传统腹腔镜在子宫肌瘤切除术中的临床效果,分析两种术式的优缺点。方法2006年1月～2009年12月,选择384例子宫肌瘤患者,随机分为2组,由固定的2位医师分别采用悬吊式(悬吊组)及传统腹腔镜(传统组)完成切除子宫肌瘤手术,比较两组手术时间、切除肌瘤个数、术中出血量,术中输血人数、术后持续发热天数、排气时间及住院天数等指标。结果两组腹腔镜手术均获成功。悬吊组的术中出血量(P=0.044)和手术时间(P=0.036)明显少于气腹腹腔镜组。悬吊组术中切除的肌瘤数(P=0.032)多于传统组。传统组术中有6人需输血而悬吊组无人需要输血。悬吊组持续发热天数、排气时间及住院天数与传统组相比无显著性差异(P＞0.05)。结论悬吊式腹腔镜与气腹腹腔镜子宫肌瘤切除术相比,具有操作安全快捷、手术时间短、术中出血少、肌瘤切除彻底、术后并发症少、患者康复快、对患者循环呼吸影响小等优点,值得推广应用。 |
| 关键词: 子宫肌瘤 悬吊式腹腔镜 传统腹腔镜 子宫肌瘤切除术 对比研究 |
| DOI：10.3969/j.issn1008-0392.2013.03.019 |
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| 基金项目: |
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| Comparison of therapeutic efficacy between gasless and conventional laparoscopy in myomectomy |
| CHEN Ke-wei,LI Huai-fang,FAN Bo-zhen |
| (Dept.of Gynecology,Tongji Hospital,Tongji University,Shanghai 200065,China) |
| Abstract: |
| Objective To compare the efficacy of gas laparoscopic（conventional） and gasless laparoscopic surgery in myomectomy.Methods Total 384 patients with hysteromyoma admitted during January 2006 to December 2009 were randomized into two groups： 194 cases were received gasless laparoscopic myomectomy and 190 cases received conventional laparoscopic myomectomy.All operations were performed by two investigators.The length of surgery,number of myomas excised per patient,blood loss,number of patients requiring transfusion,duration of post-operative fever,abdominal drainage,time to flatus and length of hospital stay were compared between two groups.Results The laparoscopic operations were completed successfully without intra or post operative complications in both groups.The amount of intra-operative blood loss（P=0.044）and the length of surgery（P=0.036）were significantly lower in the gasless laparoscopy group,compared to the conventional group.The number of myomas removed per patient in the gasless laparoscopy group was significantly higher than that in the conventional laparoscopy group（P=0.032）.Intra-operative blood transfusions were necessary for six patients in conventional group compared to none in the gasless group（P=0.000）.There were no significant differences in duration of post-operative fever,time to flatus and length of hospital stay between two groups.Conclusion Compared to the conventional laparoscopic myomectomy,gasless laparoscopic myomectomy has advantages of safety,shorter length of surgery,less blood loss,radical clearance,less post-operative complications,quicker recovery and less influence on circulation and respiration system.It is suggested that gasless laparoscopic myomectomy is a better choice for myomectomy. |
| Key words: uterine myoma gasless laparoscopy conventional laparoscopy myomectomy comparative study |
