Department of Obstetrics and Gynaecology, E-Da Hospital, Kaohsiung County, Yan-Chao Shiang, Taiwan.
Taiwan J Obstet Gynecol. 2013 Jun;52(2):227-32. doi: 10.1016/j.tjog.2013.04.013.
To compare the costs of traditional open myomectomy (OM) with laparoscopic myomectomy (LM).
A retrospective review was conducted of the medical records of 155 women who underwent traditional open myomectomy (OM) or laparoscopic myomectomy (LM) in a teaching hospital in Taiwan.
The total medical service expense and the patient out-of-pocket expense were significantly higher for women who received LM than for women who received OM. However, the operative time and blood loss during surgery were significantly less in women who received LM than in women who received OM.
The overall expense is higher for LM than for OM; however, the laparoscopic approach has numerous advantages for patients, including shorter operative time, less blood loss, and a more rapid recovery time. No difference existed in the rate of complications or in the recurrence of disease for the two procedures.
比较传统开腹子宫肌瘤剔除术（OM）与腹腔镜子宫肌瘤剔除术（LM）的成本。
对台湾一家教学医院的 155 例接受传统开腹子宫肌瘤剔除术（OM）或腹腔镜子宫肌瘤剔除术（LM）的女性患者的病历进行回顾性分析。
LM 组的总医疗费用和患者自付费用明显高于 OM 组。然而，LM 组的手术时间和术中出血量明显少于 OM 组。
与 OM 相比，LM 的总费用更高；然而，腹腔镜方法对患者具有许多优势，包括手术时间更短、出血量更少、恢复时间更快。两种手术方法的并发症发生率或疾病复发率无差异。
