开腹和腹腔镜下子宫肌瘤剔除术后妊娠结局分析  

Analysis of Pregnancy Outcome after Open or Laparoscopic Surgery for Uterine Fibroids

作　　者：宋保志[1] 刘佳华[1] 高玉玲[1] 孙阳[1] 陈政[1] 石红[1] 

机构地区：[1]福建医科大学省立临床医学院福建省立医院妇产科,福州350001

出　　处：《中国现代手术学杂志》2015年第6期458-460,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨开腹手术和腹腔镜手术子宫肌瘤剔除术后妊娠结局的差异。方法随访2006年1月至2012年8月间就诊我院行开腹或腹腔镜下子宫肌瘤剔除术,并术后成功妊娠分娩的114例患者的临床资料,根据手术方式分为开腹组52例和腹腔镜组62例。比较两组患者手术情况和妊娠结局。结果开腹组最大肌瘤直径和平均肌瘤数量均高于腹腔镜组(P<0.05);腹腔镜组术中出血量和住院时间均低于开腹组(P<0.05);两组手术后妊娠时间间隔、备孕时间、流产率差异无统计学意义(P>0.05)。两组孕妇的分娩孕周、分娩方式、新生儿体重等比较,差异均无统计学意义(P>0.05)。结论开腹或腹腔镜下子宫肌瘤剔除术对有生育要求的子宫肌瘤患者均是可靠的手术方式,手术方式本身不会造成妊娠结局的不同。Objective To investigate the difference of pregnancy outcome after open or laparoscopic sur- gery for uterine fibroids. Methods There were 114 cases of laparotomy or laparoscopy surgical patients. They were divided into two groups based on the operation methods （52 cases in laparotomy group and 62 cases in laparoscopy group）. The operation state and the outcome between the two groups were studied. Results The neoplasms in the laparotomy group were more and bigger than that of the laparoscopy group （ P 〈 0.05 ）. The blood loss and operation time were less in the laparoscopy group（P 〈 0.05 ）. There was no significantly differ- ence in the comparison of pregnancy interval time, abortion rate and the complication rates （ P 〉 0.05 ）. Conclusions The lapamtomy and laparoscopy surgery are the same safe operation methods for the patient with uterine fibroids, who has the fertility requirement.

关 键 词：子宫肿瘤 子宫肌瘤剔除术 腹腔镜检查 妊娠结局 

分 类 号：R737.33[医药卫生—肿瘤]