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目的 探讨腹腔镜下子宫肌瘤剔除术的应用价值。方法 比较腹腔镜子宫肌瘤剔除术 78例(观察组 )和开腹子宫肌瘤剔除术 6 7例 (对照组 )病人的手术和术后情况。结果 观察组手术时间 81 0 9±2 3 81min ,术中出血 32 15± 2 5 0 2ml,术后平均 1 2 8± 0 80d体温恢复正常 ,术后住院 4 12± 1 0 0d。对照组手术时间 83 6 5± 30 5 0min ,术中出血 86 5 8± 6 5 30ml,平均 2 82± 1 35d体温恢复正常 ,术后住院 7 6 4± 1 6 7d。结论 腹腔镜下子宫肌瘤剔除术具有创伤小、术中出血少、术后恢复快及住院时间短等优点。
Objective To investigate the value of laparoscopic myomectomy. Methods The operative and postoperative outcomes of 78 cases of laparoscopic myomectomy (observation group) and 67 cases of open myomectomy (control group) were compared. Results The operation time of the observation group was 81 0 ± 2 3 81min and the intraoperative bleeding was 32 15 ± 250 2ml. The body temperature returned to normal after 128 ± 0 80d and the postoperative hospital stay was 4 12 ± 1 0 0d. The operation time of the control group was 83 6 5 ± 30 5 0min, and the intraoperative hemorrhage was 86 58 ± 65 5 30ml. The body temperature returned to normal after 2 82 ± 1 35d and the postoperative hospital stay was 7 6 4 ± 1 6 7d. Conclusion Laparoscopic myomectomy has the advantages of less trauma, less intraoperative bleeding, faster postoperative recovery and shorter hospital stay.