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目的探讨在手助腹腔镜下对多发性子宫肌瘤进行肌瘤剔除术的应用价值。方法 2010年4月至2011年4月因多发性子宫肌瘤需行子宫肌瘤剔除术患者110例,随机分为两组:A组50例采用手助腹腔镜下子宫肌瘤剔除术,B组60例采用单纯腹腔镜下子宫肌瘤剔除术,对比两组术中及术后情况。随访2年,B超监测复发情况。结果两组手术时间、出血量、术后住院天数、肛门排气时间比较差异均无统计学意义(P均>0.05)。手助腹腔镜组剔除肌瘤个数与B超符合率100.0%(50/50),术后复发率4.0%(2/50);单纯腹腔镜组与B超符合率86.7%(52/60),复发率16.7%(10/60);两组比较差异有统计学意义(P<0.05)。结论手助腹腔镜既有腹腔镜手术微创的优点,又可借助手的感觉触摸,可更干净的剔除多发性子宫肌瘤,减少术后复发的几率。
Objective To investigate the value of myomectomy for multiple uterine leiomyoma in hand-assisted laparoscopy. Methods From April 2010 to April 2011, 110 patients with multiple uterine fibroids who underwent myomectomy were randomly divided into two groups: group A (50 cases) received hand-assisted laparoscopic myomectomy, and group B Group 60 patients with simple laparoscopic myomectomy, compared two groups of intraoperative and postoperative conditions. Follow-up 2 years, B-monitoring of recurrence. Results There was no significant difference in operation time, blood loss, postoperative hospital stay and anal exhaust time between the two groups (all P> 0.05). The number of fibroids removed by hands-assisted laparoscopic group was 100.0% (50/50) with B-ultrasound and the recurrence rate was 4.0% (2/50). The coincidence rate of simple laparoscopic group with B-ultrasound was 86.7% (52/60) ), And the recurrence rate was 16.7% (10/60). There was significant difference between the two groups (P <0.05). Conclusion Hand-assisted laparoscopy has the advantages of minimally invasive laparoscopic surgery, but also with the help of the touch of the hand can be more cleanly remove multiple uterine fibroids and reduce the chance of recurrence.