腹腔镜手术在治疗子宫肌瘤上的应用价值

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1、新疆医科大掌医掌硕士学位论文Appliedvalueoflaparoscopicsurgery．intreatment0IUterlneIlDr0IriS●n．●m'●'PostgraduateWangqingliSupervisorMacailingProfessorAbstractobjective：Toresearchthecasedataofuterusmyomaandexplorethesurgicalstyleoffibromyomaofuterus．Weinvestigatedtheefficacyandclinicalvalueoftrans-abdominal

2、surgeryandlaparoscopicsurgery．Methods：Weanalyzedclinicaldataof133patients，whowerecuredintheFirstAffiliatedHospitalofXinjiangMedicalUniversity，withuterusmyomaanddiscussedtheirsurgicalstyles．Results：Of133patientswithfibromyomaofUterus，therewere102patients、ⅣiⅡ1clinicalsymptoms(76．69％)and32patie

3、ntswithoutclinicalsymptoms(23．31％)．133patientsweretreated谢msurg浏style．Therewere36patients埘thtrans-abdominalhysterectomy(27．07％)；therewere26patients诚thlaparoscopichysterectomy(19．55％)；therewere38patientswithtrans-abdominalmyomectomy(28．57％)；therewere33patientswithlaparoscopicmyomectomy(24．81％

4、)．Compared、)I，i吐lgrouptrans-abdominalsurgery,thegrouplaparoscopicsurgeryhadmanyadvantagesinpostoperativefartingtime，smalltrauma,lessbleedingandfastrecover(P<0．05)．Theoperatingtimeingrouplaparoscopicsurgerywasmarkedlymorethanthatingrouptrans-abdominalsurgery伊<0．05)．Conclusions：Surgicaloperati

5、onwasthebesttherapyforthepatientswhohadclinicalsymptoms．Someofpatientswithfibromyomaofuterushadnoclinicalsymptoms．TimelyexaminationWasthekeyforearlydiscoveryandearlydiagnosis．Compared、析mgrouptrans-abdominalsurgery，thegrouplaparoscopicsurgeryhadmanyadvantagesoflesstrauma,lessbleedinginoperati

6、onandearlyresumptionofnormalactivities．Laparoscopicsurgery’Wassafeandeffectivemeansforsimplecases．Trans-abdominalsurgeryWasfitterforcomplexcases．Whenwetreatedpatientswithfibromyomaofuterus，weshouldconsidersyntheticlytheirage，theirfurtherreproductiverequirement，symptoms，conditionofuterusmyoma

7、(site，sizeandnumber)，wholeboay’Scondition，complication，mentality，economiccapability，andtechnicallevelofhospitaltochoosetherapicmethodsandopportunity．Keywords：fibromyomaofuterus；surgicaltherapy；surgicalmethod—-2一前言．1上·Jk刖吾子宫肌瘤(Uterineleiomyoma)是女性生殖